Comparative study between fluoroscopic-guided and ultrasound-guided genicular nerve pulsed radiofrequency neurotomy for painful knee osteoarthritis | ||||
| Sohag Medical Journal | ||||
| Article 4, Volume 25, Issue 1, January 2021, Page 23-32 PDF (320 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2020.43926.1199 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Wael Alham Mahmoud* ; Ahmed Talaat Mohamed; Ahmed Elsaied Abdelrahman; Fawzy Abbas Badawy | ||||
| ANESTHESIA DEPARTMENT, SOHAG UNIVERSITY | ||||
| Abstract | ||||
| Introduction: Knee osteoarthritis (OA) has become a worldwide health issue. Genicular nerve ablation has been used for the management of pain in knee osteoarthritis patients. This study aims to compare between fluoroscopy and ultrasound-guided genicular ablation. Patients and methods: A total of 30 cases were included, and they were divided into two groups, 15 cases underwent the fluoroscopic guided procedure, while the other 15 cases underwent the ultrasound-guided procedure. Both VAS and WOMAC scores were assessed and recorded in all cases after 1-, 3-, and 6-month follow-up visits. Results: Patient demographics and characters did not differ significantly between the two groups. Both groups showed a marked improvement of both scores when compared to their basal score. However, the ultrasound group showed a marked improvement compared to fluoroscopy. Conclusion: Based on our study findings, we believe that ultrasound-guided genicular verve ablation provides better results compared to the fluoroscopic guided procedure. However, fluoroscopy still provides an effective guidance method. | ||||
| Keywords | ||||
| Genicular ablation; osteoarthritis; fluoroscopy; ultrasound | ||||
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