Results of genicular nerve ablation by radiofrequency in osteoarthritis-related chronic refractory knee pain

Abstract

Background/aim: The aim of this study was to investigate the medium- to long-term effects of radiofrequency (RF) ablation of genicularnerves for chronic refractory knee pain due to osteoarthritis (OA).Materials and methods: Forty-eight patients who underwent RF ablation of the genicular nerves were evaluated retrospectively. Thevisual analogue scale (VAS) score, Western Ontario and McMaster universities osteoarthritis index (WOMAC index), opioid andnonsteroidal antiinflammatory drug (NSAID) use score, quality of life score, and treatment satisfaction score were examined at 1, 3, and6 months after the procedure.Results: The mean VAS scores were significantly lower at the 1-, 3-, and 6-month evaluations compared with the preoperative values (P< 0.001). A significant decrease was observed in the WOMAC index compared with preoperative values (P < 0.001). It was found that66.7% of opioid users and 56.3% of NSAID users stopped using medication. No serious complications were encountered during or afterthe procedure.Conclusion: In chronic refractory knee pain due to OA, the application of RF ablation to the genicular nerve is an effective and safetreatment option in the medium to long term.