Cryoneurolysis for the Treatment of Knee Arthritis to Facilitate Inpatient Rehabilitation: A Case Report

IF 1.9 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2024-06-01 DOI:10.1016/j.arrct.2024.100340

Fraser MacRae BSc , Mahdis Hashemi MD , Ève Boissonnault MD , Romain David MD, MSc , Paul Winston MD

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Abstract

A 65-year-old woman presenting with a sensory ganglionopathy complicated with COVID-19 is limited in her rehabilitation due to pain from lateral compartment knee osteoarthritis. To increase participation in rehabilitation, cryoneurolysis of the medial and lateral anterior femoral cutaneous nerve and infrapatellar branches of the saphenous nerve was provided to manage pain associated with knee osteoarthritis. The patient reported immediate relief from pain. Physiotherapy noted improvement immediately after the procedure. Follow-ups at 7- and 11-days post-treatment revealed ongoing increases in mobility and reduction in pain. The patient was discharged to live independently shortly after cryoneurolysis. Cryoneurolysis for knee osteoarthritis could be considered as a treatment option to increase participation in rehabilitation for hospital inpatients who are stalled in their rehabilitation due to pain and poor mobility from knee osteoarthritis.

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冷冻神经溶解术治疗膝关节炎，促进住院康复：病例报告

一名 65 岁的妇女患有感觉神经节病，并发 COVID-19，由于外侧厢膝关节骨性关节炎引起的疼痛，她的康复治疗受到了限制。为了让她更多地参与康复治疗，医生对她的股前皮神经内侧和外侧以及隐神经髌下分支进行了冷冻神经溶解治疗，以控制膝关节骨性关节炎引起的疼痛。患者表示疼痛立即得到缓解。术后物理治疗效果立即得到改善。治疗后 7 天和 11 天的随访显示，患者的活动能力不断增强，疼痛也有所减轻。患者在冷冻神经溶解术后不久即可出院，开始独立生活。冷冻神经溶解术治疗膝关节骨性关节炎可作为一种治疗选择，以提高住院病人的康复参与度，这些病人因膝关节骨性关节炎引起的疼痛和行动不便而导致康复停滞。

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来源期刊

Archives of rehabilitation research and clinical translation Medicine and Dentistry (General)

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

8 weeks