超声引导下的全膝关节置换术后膝神经热射频消融术。

IF 2.3 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2024-11-01 DOI:10.1016/j.otsr.2024.103858

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引用次数: 0

摘要

全膝关节置换术（TKR）后出现难治性慢性疼痛的比例为 20%-25%，其中 6% 的病例无法确定病因。在没有病因诊断的情况下，外科医生不太可能考虑翻修手术，但疼痛给治疗带来了挑战，难以达到满意和可接受的生活质量。膝神经射频消融术（GNRFA）是最近发展起来的一种非药物镇痛方法。它微创、安全、不良反应少，为治疗 TKR 术后难治性慢性疼痛开辟了新的前景。证据等级：四级。

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Ultrasound-guided thermal radiofrequency ablation of the genicular nerves after total knee replacement

The rate of refractory chronic pain after total knee replacement (TKR) is 20–25%, with no identifiable etiology in 6% of cases. Without an etiologic diagnosis, the surgeon is unlikely to consider revision, but pain poses a therapeutic challenge for achieving satisfaction and an acceptable quality of life. Genicular nerve radiofrequency ablation (GNRFA) was recently developed as a non-drug analgesic option. It is minimally invasive and safe, with few adverse effects, opening a new perspective for management of refractory chronic pain after TKR.

Level of evidence

IV.

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.