Chronic Knee Osteoarthritis: Intra - articular Sodium Hyaluronic Acid and Radiofrequency Neurotomy of Genicular Nerve
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 11
Abstract
Background: Various modalities have been used for treatment of chronic knee osteoarthritis but with limited benefits. Radiofrequency neurotomy of genicular nerve is emerging as newer modality for pain relief with few complications. The present study was designed with an aim to compare combination of intra articular sodium hyaluronic acid and genicular radiofrequency neurotomy with intra articular sodium hyaluronic acid alone in chronic osteoarthritis patients. Methods: 40 patients of either sex, age 4065 years suffering from knee pain due to advanced osteoarthritis with no benefit from conservative measures were randomly allocated into two groups. In Group A, intra articular sodium hyaluronic acid 6mL was injected under aseptic precautions. In Group B, intra articular sodium hyaluronic acid was followed by radio frequency neurotomy of genicular nerves. All patients were followed with preoperative and post operative procedure outcome measurement at 1 week, 4 weeks, 12 weeks and 6 months. Results: Both groups were comparable with respect to age, height, weight, gender and BMI (Body Mass Index). Reduction in VAS (Visual Analogue Scale) and improvement in OKS (Oxford Knee Score) was better in Group B as compared to Group A at 1 week, 4 weeks, 12 weeks and 6 months post procedure, all differences being highly significant (p<0.001). Conclusion: Combined therapy with intra articular sodium hyaluronic acid and genicular radiofrequency neurotomy is a safe, effective and minimally invasive procedure for knee osteoarthritis. It provides better pain relief and functional recovery of joints as compared to intra articular sodium hyaluronic acid alone.
Authors and Affiliations
Ashok Kumar B. K
Keywords
Related Articles
- EP ID EP549265
- DOI 10.21088/ijaa.2349.8471.51118.4
- Views 86
- Downloads 0
Comparative Evaluation of Nerve Stimulation and Ultrasound Guidance for Popliteal Block: A Randomized Double Blinded Study
Popliteal block is one of the rarely performed regional anaesthetic techniques because it requires great expertise in anatomical land marks and is often very technically challenging. Recent introduction of ultrasound te...
Comparison of Postoperative Analgesic Effect of Ropivacaine Hydrochloride with Bupivacaine Hydrochloride in Transversus Abdominis Plane Block after Total Abdominal Hysterectomy
Background and Aims: Total abdominal hysterectomy (TAH) is one of the commonly performed major surgical procedures resulting in substantial postoperative pain and discomfort. Hence, the study was carried out to compare t...
A Randomised Control Study to Compare the Pretreatment Effect of Rocuronium and Atracurium on Succinylcholine Induced Post Operative Myalgia
Background: Succinylcholine is a depolarizing muscle relaxant, provides ideal muscle relaxation for surgical procedures along with anesthetics. Which is extensively used short acting muscle relaxant, with several undesir...
Intravenous Sedation for Tympanoplasty – Comparison of I.V. Dexmedetomidine and Nalbuphine with I.V. Dexmedetomidine and Fentanyl
Introduction: Monitored Anaesthesia Care (MAC) involves administration of local anaesthesia (LA) with intravenous sedatives, anxiolytic and analgesic drugs with detailed monitoring of vital parameters. In tympanoplasty,...
Efficacy of Right Superficial Cervical Plexus Block and Intravenous Dexmedetomidine for Relief of Shoulder Pain in Laparoscopic Surgery Under Spinal Anaesthesia: A Feasibility Study
Background and Aim: Laparoscopic procedures are conventionally done under general anaesthesia for avoiding patient discomforts and shoulder pain due to pneumoperitoneum that occur during laparoscopy under spinal anaesthe...