Academic Surgical Unit, South West London Elective Orthopaedic Centre (SWLEOC), Dorking Road, Epsom, London, United Kingdom.
Department of Diagnostic and Interventional Radiology, Epsom and St Helier University Hospitals NHS Trust, Dorking Road, Epsom, London, United Kingdom.
Semin Musculoskelet Radiol. 2024 Jun;28(3):267-281. doi: 10.1055/s-0044-1781432. Epub 2024 May 20.
The prevalence of knee osteoarthritis (OA) is the highest among all joints and likely to increase over the coming decades. Advances in the repertoire of diagnostic capabilities of imaging and an expansion in the availability and range of image-guided interventions has led to development of more advanced interventional procedures targeting pain related to OA pain while improving the function of patients presenting with this debilitating condition. We review the spectrum of established advanced interventional procedures for knee OA, describe the techniques used to perform these procedures safely, and discuss the clinical evidence supporting each of them.
膝关节骨关节炎(OA)的患病率在所有关节中最高,并且在未来几十年中可能会增加。影像学诊断能力的进步以及可用于引导干预的图像的可用性和范围的扩大,导致了针对与 OA 相关的疼痛的更先进的介入性手术的发展,同时改善了患有这种使人衰弱的疾病的患者的功能。我们回顾了膝关节 OA 的既定先进介入性手术的范围,描述了用于安全执行这些手术的技术,并讨论了支持每种技术的临床证据。