RETRACTED: Comparison of the efficacy of genicular nerve phenol neurolysis and radiofrequency ablation for pain management in patients with knee osteoarthritis (Retracted Article)

被引:13
作者
Yildiz, Gokhan [1 ,2 ]
Perdecioglu, Gevher Rabia Genc [1 ]
Yuruk, Damla [1 ]
Can, Ezgi [1 ]
Akkaya, Omer Taylan [1 ]
机构
[1] Ankara Etlik City Hosp, Dept Algol, Ankara, Turkiye
[2] Ankara Etlik City Hosp, Dept Algol, Halil Sezai Erkut Caddesi, TR-06800 Yenimahalle Ankara, Turkiye
关键词
Analgesia; Chronic Pain; Nerve Block; Neuritis; Osteoarthritis; Knee; Paresthesia; Phenol; Radiofrequency Ablation;
D O I
10.3344/kjp.23200
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Genicular nerve neurolysis with phenol and radiofrequency ablation (RFA) are two interventional techniques for treating chronic refractory knee osteoarthritis (KOA) pain. This study aimed to compare the efficacy and adverse effects of both techniques. Methods: Sixty-four patients responding to diagnostic blockade of the superior medial, superior lateral, and inferior medial genicular nerve under ultrasound guidance were randomly divided into two groups: Group P (2 mL phenol for each genicular nerve) and Group R (RFA 80 degrees C for 60 seconds for each genicular nerve). The numeric rating scale (NRS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were used to evaluate the effectiveness of the interventions. Results: RFA and phenol neurolysis of the genicular nerves provided effective analgesia within groups at 1 week, 1 month, and 3 months compared to baseline. There was no significant difference between the groups in terms of NRS and WOMAC scores at all measurement times. At the 3rd month follow-up, 50% or more pain relief was observed in 53.1% of patients in Group P and 50% of patients in Group R. The rate of transient paresthesia was 34.4% in Group P and 6.3% in Group R, and this was significantly higher in Group P. Conclusions: Neurolysis of the genicular nerves with both RFA and phenol is effective in the management of KOA pain. Phenol may be a good alternative to RFA. Further studies are needed on issues such as dose adjustment to prevent transient paresthesia response.
引用
收藏
页码:450 / 457
页数:8
相关论文
共 22 条
[1]   Radiofrequency treatment relieves chronic knee osteoarthritis pain: A double-blind randomized controlled trial [J].
Choi, Woo-Jong ;
Hwang, Seung-Jun ;
Song, Jun-Gol ;
Leem, Jeong-Gil ;
Kang, Yong-Up ;
Park, Pyong-Hwan ;
Shin, Jin-Woo .
PAIN, 2011, 152 (03) :481-487
[2]   Genicular Nerve Radiofrequency Ablation for the Treatment of Painful Knee Osteoarthritis: Current Evidence and Future Directions [J].
Conger, Aaron ;
Gililland, Jeremy ;
Anderson, Lucas ;
Pelt, Christopher E. ;
Peters, Christopher ;
McCormick, Zachary L. .
PAIN MEDICINE, 2021, 22 :S20-S23
[3]   Factors That Affect Radiofrequency Heat Lesion Size [J].
Cosman, Eric R., Jr. ;
Dolensky, Joseph R. ;
Hoffman, Ryan A. .
PAIN MEDICINE, 2014, 15 (12) :2020-2036
[4]   Use of 0.5 mL and 1.0 mL of Local Anesthetic for Genicular Nerve Blocks [J].
Cushman, Daniel M. ;
Monson, Nicholas ;
Conger, Aaron ;
Kendall, Richard W. ;
Henrie, A. Michael ;
McCormick, Zachary L. .
PAIN MEDICINE, 2019, 20 (05) :1049-1052
[5]   Alcohol neurolysis of genicular nerve for chronic knee pain [J].
Dass, Rushin Maria ;
Kim, Eunsoo ;
Kim, Hae-kyu ;
Lee, Ji Youn ;
Lee, Hyun Ju ;
Rhee, Seung Joon .
KOREAN JOURNAL OF PAIN, 2019, 32 (03) :223-227
[6]  
DSouza RS, 2023, Phenol nerve block
[7]   The Effectiveness of Fluoroscopically Guided Genicular Nerve Radiofrequency Ablation for the Treatment of Chronic Knee Pain Due to Osteoarthritis A Systematic Review [J].
Fogarty, Alexandra E. ;
Burnham, Taylor ;
Kuo, Keith ;
Tate, Quinn ;
Sperry, Beau P. ;
Cheney, Cole ;
Walega, David R. ;
Kohan, Lynn ;
Cohen, Steven P. ;
Cushman, Daniel M. ;
McCormick, Zachary L. ;
Conger, Aaron .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2022, 101 (05) :482-492
[8]  
Sotelo VG, 2017, REV ESP ANEST REANIM, V64, P568, DOI 10.1016/j.redar.2017.04.001
[9]   Risk factors of knee osteoarthritis in Bangladeshi adults: a national survey [J].
Haider, Mohammad Ziaul ;
Bhuiyan, Rijwan ;
Ahmed, Shamim ;
Zahid-Al-Quadir, Ahmad ;
Choudhury, Minhaj Rahim ;
Haq, Syed Atiqul ;
Zaman, Mohammad Mostafa .
BMC MUSCULOSKELETAL DISORDERS, 2022, 23 (01)
[10]   GENICULAR NERVE RADIOFREQUENCY ABLATION FOR PAINFUL KNEE ARTHRITIS: THE WHY AND THE HOW [J].
Kidd, Vasco Deon ;
Strum, Scott R. ;
Strum, David S. ;
Shah, Jayprakash .
JBJS ESSENTIAL SURGICAL TECHNIQUES, 2019, 9 (01)