Comparative evaluation of functional outcome and pain relief after pulsed radiofrequency of the saphenous nerve within and distal to the adductor canal in medial compartment knee osteoarthritis: A randomized double-blind trial

Autor: Ashok Jadon, Prashant K. Shahi, Swastika Chakraborty, Neelam Sinha, Apoorva Bakshi, Surabhi Srivastawa
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Anaesthesiology Clinical Pharmacology, Vol 40, Iss 1, Pp 22-28 (2024)
Druh dokumentu: article
ISSN: 0970-9185
DOI: 10.4103/joacp.joacp_70_22
Popis: Background and Aims: Pulsed radiofrequency (PRF) of the saphenous nerve (SN) has shown effective pain relief in knee pain because of knee osteoarthritis (KOA). The adductor canal (AC) contains other sensory nerves innervating the medial part of the knee joint apart from SN. We compared the PRF of SN within and outside the AC for their quality and duration of pain relief in knee osteoarthritis of the medial compartment (KOA-MC). Material and Methods: We conducted a randomized prospective study in 60 patients with anteromedial knee pain because of KOA-MC. Patients in group A received PRF-SN, and those in group B received PRF-AC. The primary objectives were comparison of pain by Visual Analog Scale (VAS) scores and changes in quality of daily living by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and OXFORD knee scores. The secondary objectives were comparison of analgesic requirements using Medicine Quantification Scale (MQS) scores and block-related complications. Intra-group comparison was performed by analysis of variance. Inter-group normally distributed data were assessed by Student’s t-test, non-normally distributed and ordinal data were assessed by Mann–Whitney U-test, and categorical data were assessed by Chi-square test. A P value of
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