Indications of the Neurotomy of Genicular Nerves by Radiofrequency for the Treatment of Knee Osteoarthritis: A Literature Review

• Autor(a) principal: Lima,Diego Ariel de
• Data de Publicação: 2019
• Outros Autores: Gonçalves,Marcelo Carvalho Krause, Grando,Souterland Thiago Correia e Sá, Cintra,Thiago Luiz de Lima, Pinto,Dilamar Moreira, Gonçalves,Romeu Krause
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Ortopedia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300233
• topic: neurosurgical procedures; radio waves; rhizotomy; osteoarthritis, knee; knee joint

Abstract Osteoarthritis (OA) is one of the most frequent and incapacitating pathologies today, especially of the knee. Among the possible approaches for knee OA, the neurotomy of the genicular nerves by radiofrequency (RF) has been gaining prominence. However, as this is a relatively new procedure, indications for its implementation are still unclear. The objective of the present reviewis to identify the main indications of the use of RF for the treatment of knee OA in themedical literature. A review of the literature was performed in January 2018 through a search in the PubMed, ClinicalKey and Google Scholar databases. After reviewing themain articles on the subject, it was concluded that the main indications of the use of RF for the treatment of kneeOAwere:OA Kellgren-Lawrence grades 3 and 4, withmoderate to severe pain and failure of conservative treatment, mainly in elderly people; persistence of pain even after total knee arthroplasty (TKA); patients with an indication for TKAwho refuse to undergo surgical treatment.