Urits Ivan, Jones Mark, Patel Riki, Adamian Leena, Seifert Danica, Thompson William, Viswanath Omar
Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Department of Anesthesiology, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, Arizona.
J Knee Surg. 2019 Jan;32(1):72-79. doi: 10.1055/s-0038-1676071. Epub 2018 Nov 30.
Chronic knee pain is a widely prevalent issue that can have a significant impact on a patient's quality of life. One of the leading causes of chronic knee pain is osteoarthritis. Total knee replacement is often the last and definitive resort for patients with severe symptomatic osteoarthritis after trial of less invasive interventions with failure to achieve symptomatic relief. Intra-articular injections are a mainstay of adjunctive conservative management and have demonstrated efficacy in reducing pain. Radiofrequency treatment is a viable option for poor surgical candidates, or for patients having persistent, chronic pain following knee surgery. Extracorporeal shockwave therapy is another modality growing in use that may offer short-term symptomatic relief. In this review, we will discuss widely used minimally invasive interventional options for the symptomatic management of osteoarthritic chronic knee pain.
慢性膝关节疼痛是一个广泛存在的问题，会对患者的生活质量产生重大影响。骨关节炎是慢性膝关节疼痛的主要原因之一。对于经尝试侵入性较小的干预措施但未能缓解症状的重度症状性骨关节炎患者，全膝关节置换术通常是最后的决定性治疗手段。关节内注射是辅助保守治疗的主要方法，已证明在减轻疼痛方面有效。射频治疗对于手术条件较差的患者或膝关节手术后持续存在慢性疼痛的患者是一种可行的选择。体外冲击波疗法是另一种越来越常用的治疗方式，可能会提供短期症状缓解。在本综述中，我们将讨论广泛使用的微创介入方法，用于对症治疗骨关节炎性慢性膝关节疼痛。
