Ariel de Lima Diego, Gonçalves Marcelo Carvalho Krause, Grando Souterland Thiago Correia E Sá, Cintra Thiago Luiz de Lima, Pinto Dilamar Moreira, Gonçalves Romeu Krause
Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, Brasil.
Universidade Federal Rural do Semi-Árido (UFERSA), Mossoró, RN, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 May;54(3):233-240. doi: 10.1055/s-0039-1692121. Epub 2019 Jun 27.
Osteoarthritis (OA) is one of the most frequent and incapacitating pathologies today, especially of the knee. Among the possible approaches for knee OA, the neurotomy of the genicular nerves by radiofrequency (RF) has been gaining prominence. However, as this is a relatively new procedure, indications for its implementation are still unclear. The objective of the present review is to identify the main indications of the use of RF for the treatment of knee OA in the medical literature. A review of the literature was performed in January 2018 through a search in the PubMed, ClinicalKey and Google Scholar databases. After reviewing the main articles on the subject, it was concluded that the main indications of the use of RF for the treatment of knee OA were: OA Kellgren-Lawrence grades 3 and 4, with moderate to severe pain and failure of conservative treatment, mainly in elderly people; persistence of pain even after total knee arthroplasty (TKA); patients with an indication for TKA who refuse to undergo surgical treatment.
骨关节炎（OA）是当今最常见且使人丧失活动能力的病症之一，尤其是膝关节骨关节炎。在膝关节OA的可能治疗方法中，通过射频（RF）进行膝神经切断术越来越受到关注。然而，由于这是一种相对较新的手术，其实施指征仍不明确。本综述的目的是在医学文献中确定使用RF治疗膝关节OA的主要指征。2018年1月通过在PubMed、ClinicalKey和谷歌学术数据库中进行检索，对文献进行了综述。在查阅了关于该主题的主要文章后，得出结论：使用RF治疗膝关节OA的主要指征为：Kellgren-Lawrence 3级和4级OA，伴有中度至重度疼痛且保守治疗无效，主要见于老年人；全膝关节置换术（TKA）后仍持续疼痛；有TKA指征但拒绝接受手术治疗的患者。
