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探讨全膝关节置换术后慢性膝关节疼痛的射频治疗可行性。

Examining the feasibility of radiofrequency treatment for chronic knee pain after total knee arthroplasty.

作者信息

Protzman Nicole M, Gyi Jennifer, Malhotra Amit D, Kooch Jason E

机构信息

Department of Clinical Education and Research, Coordinated Health, 2300 Highland Avenue, Bethlehem, PA 18020(∗).

Department of Physical Medicine and Rehabilitation, Coordinated Health, Bethlehem, PA(†).

出版信息

PM R. 2014 Apr;6(4):373-6. doi: 10.1016/j.pmrj.2013.10.003. Epub 2013 Dec 27.

Abstract

Recently, investigators began using radiofrequency to manage knee osteoarthritis pain in patients at high risk who cannot undergo surgical intervention. To our knowledge, no study has investigated the use of radiofrequency ablation of the genicular nerves to alleviate chronic knee pain after total knee replacement. A single case is presented here in which genicular nerve ablation successfully improved pain and restored function. We believe that these preliminary results could be used in the development of future prospective cohort studies and randomized controlled trials that focus on the use of radiofrequency ablation to treat persistent knee pain after total knee replacement.

摘要

最近,研究人员开始使用射频来治疗无法接受手术干预的高危患者的膝关节骨关节炎疼痛。据我们所知,尚无研究调查使用射频消融膝神经以缓解全膝关节置换术后的慢性膝关节疼痛。本文介绍了一个病例,其中膝神经消融成功改善了疼痛并恢复了功能。我们认为,这些初步结果可用于未来前瞻性队列研究和随机对照试验的开展,这些研究将聚焦于使用射频消融治疗全膝关节置换术后的持续性膝关节疼痛。

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