Pain Management in Unicompartmental Knee Arthroplasty

Young, Adam

doi:10.1007/978-3-030-27411-5_13

Cited by 1 publication

(2 citation statements)

References 30 publications

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“…Four articles utilizing GNRFA preoperatively for postoperative pain relief were also excluded [16][17][18][19]. Four review articles were also excluded [20][21][22][23]. One article was a case report of infection after GNRFA.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Safety and Efficacy of Genicular Nerve Radiofrequency Ablation for Management of Painful Total Knee Replacement: A Systematic Review

Cheppalli¹,

Bhandarkar²,

Sambandham³

et al. 2021

Cureus

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Painful total knee replacement (TKR) without an obvious underlying identifiable pathology is not uncommon. Dissatisfaction after TKR can be up to 20%. Different treatment modalities, including non-operative and operative procedures, have been described in the literature. Radiofrequency ablation of genicular nerves (GNRFA) is emerging as a newer treatment modality for painful TKR without an obvious underlying identifiable pathology. Despite a modest number of publications demonstrating the usefulness of GNRFA in managing pain in knee osteoarthritis, the efficacy of GNRFA has not been completely established in the management of residual pain after TKR. This systematic review aimed to analyze all published studies (nine studies) on GNRFA as an option to manage residual pain after TKR. Based on this current systematic review, we noted that GNRFA is a modality to treat post residual pain and patients can anticipate improvement in pain up to three months with minimal complications. This article provides an overview of the currently available knowledge and techniques employed for this procedure, as well as the expected outcome and safety profile of GNRFA in painful TKR.

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Section: Resultsmentioning

confidence: 99%

“…The decrease in proprioceptive input was the probable reason according to the author. We noted one case report of infection after GNRFA which was not included for analysis as it did not mention what kind of RFA and which nerves have been ablated [ 23 ]. The patient also underwent a dry needling procedure in addition to GNRFA.…”

Section: Reviewmentioning

confidence: 99%