Pulsed Radiofrequency Rhizotomy of the Genicular Nerves of the Knee Guided by Radioscopy and Ultrasonography: Step-By-Step Technique.

Autor: Pavão DM; National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.; Beneficencia Portuguesa Hospital. Petrópolis. RJ, Brazil.; Ribeirão Preto Medical School, University of São Paulo, Brazil., Rocha Faria JL; National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.; Ribeirão Preto Medical School, University of São Paulo, Brazil., Mandarino M; National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil., Maia PAV; National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil., Mozella AP; National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil., Vinagre G; Hospital Lusíadas Porto, Porto, Portugal.; Complexo Hospital do Médio Ave, Porto, Portugal., Dallo I; O.A.S.I. Bioresearch Foundation Gobbi NPO, Milan, Italy., Werneck FC; Beneficencia Portuguesa Hospital. Petrópolis. RJ, Brazil., Bonfante V; Hospital de Traumatologia e Ortopedia Dona Lindú., Salim R; Ribeirão Preto Medical School, University of São Paulo, Brazil., Fogagnolo F; Ribeirão Preto Medical School, University of São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Arthroscopy techniques [Arthrosc Tech] 2022 Feb 18; Vol. 11 (3), pp. e391-e396. Date of Electronic Publication: 2022 Feb 18 (Print Publication: 2022).
DOI: 10.1016/j.eats.2021.11.006
Abstrakt: Osteoarthritis (OA) of the knee is highly prevalent and causes pain, stiffness, and harms the quality of life of millions of patients. Scientific evidence about radiofrequency ablation or rhizotomy of genicular nerves has been presented with increasing frequency in the literature for the treatment of chronic pain related to knee OA as an alternative to total knee arthroplasty. The main indication for this procedure is symptomatic OA unresponsive to conservative treatment, regardless of the disease evolution, although more common indications are in Kellgren-Lawrence grade III or IV, in post-total knee arthroplasty residual pain without an identified cause, in patients with comorbidities and high surgical risk, and those who do not want to undergo surgery. The aim of this study is to describe the step-by-step rhizotomy technique with pulsed radiofrequency of the 3 genicular nerves, guided by radioscopy and ultrasonography.
(© 2021 The Authors.)
Databáze: MEDLINE