J Knee Surg 2019; 32(01): 065-071
DOI: 10.1055/s-0038-1675418
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cooled Radio Frequency Ablation for the Treatment of Osteoarthritis-Related Knee Pain: Evidence, Indications, and Outcomes

Lasun O. Oladeji
1   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
,
James L. Cook
2   Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. Juni 2018

16. September 2018

Publikationsdatum:
05. November 2018 (online)

Abstract

Knee osteoarthritis (OA) is a common condition associated with pain and physical impairment in a large segment of the population. The traditional treatment algorithm progresses from conservative modalities to nonsurgical options to surgical intervention. Surgical intervention often provides reliable pain relief but not all patients are surgical candidates and there are some patients who prefer not to have surgery. Cooled radio frequency ablation (C-RFA) is a treatment with the potential to provide pain relief for patients who no longer benefit from noninvasive modalities and who desire an alternative to surgery. The objective of this review article is to provide the rationale, available evidence, indications, and outcomes associated with C-RFA for the treatment of chronic knee OA. A total of eight reports that use C-RFA in the treatment of chronic knee pain were identified and analyzed. There were two prospective trials, one retrospective cohort study, and five case reports or case series. C-RFA is an emerging procedure with encouraging early results; however, additional long-term prospective clinical trials are necessary to further characterize how C-RFA can best be used to treat chronic knee pain.

 
  • References

  • 1 Garstang SV, Stitik TP. Osteoarthritis: epidemiology, risk factors, and pathophysiology. Am J Phys Med Rehabil 2006; 85 (11, Suppl): S2-S11 , quiz S12–S14
  • 2 Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. J Rheumatol 2006; 33 (11) 2271-2279
  • 3 Guccione AA, Felson DT, Anderson JJ. , et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 1994; 84 (03) 351-358
  • 4 Bruyère O, Cooper C, Pelletier JP. , et al. An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: a report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Semin Arthritis Rheum 2014; 44 (03) 253-263
  • 5 Samson AJ, Mercer GE, Campbell DG. Total knee replacement in the morbidly obese: a literature review. ANZ J Surg 2010; 80 (09) 595-599
  • 6 Iorio R, Della Valle CJ, Healy WL. , et al. Stratification of standardized TKA complications and adverse events: a brief communication. Clin Orthop Relat Res 2014; 472 (01) 194-205
  • 7 Luzzi AJ, Fleischman AN, Matthews CN, Crizer MP, Wilsman J, Parvizi J. The “Bundle Busters”: incidence and costs of postacute complications following total joint arthroplasty. J Arthroplasty 2018; 33 (09) 2734-2739
  • 8 Lewis GN, Rice DA, McNair PJ, Kluger M. Predictors of persistent pain after total knee arthroplasty: a systematic review and meta-analysis. Br J Anaesth 2015; 114 (04) 551-561
  • 9 Wylde V, Hewlett S, Learmonth ID, Dieppe P. Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants. Pain 2011; 152 (03) 566-572
  • 10 Ikeuchi M, Ushida T, Izumi M, Tani T. Percutaneous radiofrequency treatment for refractory anteromedial pain of osteoarthritic knees. Pain Med 2011; 12 (04) 546-551
  • 11 Hirasawa Y, Okajima S, Ohta M, Tokioka T. Nerve distribution to the human knee joint: anatomical and immunohistochemical study. Int Orthop 2000; 24 (01) 1-4
  • 12 Orduña Valls JM, Vallejo R, López Pais P. , et al. Anatomic and ultrasonographic evaluation of the knee sensory innervation: a cadaveric study to determine anatomic targets in the treatment of chronic knee pain. Reg Anesth Pain Med 2017; 42 (01) 90-98
  • 13 Dellon AL. Partial joint denervation II: knee and ankle. Plast Reconstr Surg 2009; 123 (01) 208-217
  • 14 Gardner E. The innervation of the knee joint. Anat Rec 1948; 101 (01) 109-130
  • 15 Kim SY, Le PU, Kosharskyy B, Kaye AD, Shaparin N, Downie SA. Is genicular nerve radiofrequency ablation safe? a literature review and anatomical study. Pain Physician 2016; 19 (05) E697-E705
  • 16 Franco CD, Buvanendran A, Petersohn JD, Menzies RD, Menzies LP. Innervation of the anterior capsule of the human knee: implications for radiofrequency ablation. Reg Anesth Pain Med 2015; 40 (04) 363-368
  • 17 Burckett-St Laurant D, Peng P, Girón Arango L. , et al. The nerves of the adductor canal and the innervation of the knee: an anatomic study. Reg Anesth Pain Med 2016; 41 (03) 321-327
  • 18 Choi WJ, Hwang SJ, Song JG. , et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain 2011; 152 (03) 481-487
  • 19 Protzman NM, Gyi J, Malhotra AD, Kooch JE. Examining the feasibility of radiofrequency treatment for chronic knee pain after total knee arthroplasty. PM R 2014; 6 (04) 373-376
  • 20 Gupta A, Huettner DP, Dukewich M. Comparative effectiveness review of cooled versus pulsed radiofrequency ablation for the treatment of knee osteoarthritis: a systematic review. Pain Physician 2017; 20 (03) 155-171
  • 21 Kapural L, Mekhail N. Radiofrequency ablation for chronic pain control. Curr Pain Headache Rep 2001; 5 (06) 517-525
  • 22 Carrier JD, Poliak-Tunis M. Genicular radiofrequency ablation for the treatment of post-traumatic knee pain: a case presentation. . PM R 2018 . Doi: 10.1016/j.pmrj.2018.03.016
  • 23 Iannaccone F, Dixon S, Kaufman A. A review of long-term pain relief after genicular nerve radiofrequency ablation in chronic knee osteoarthritis. Pain Physician 2017; 20 (03) E437-E444
  • 24 Sun HH, Zhuang SY, Hong X, Xie XH, Zhu L, Wu XT. The efficacy and safety of using cooled radiofrequency in treating chronic sacroiliac joint pain: A PRISMA-compliant meta-analysis. Medicine (Baltimore) 2018; 97 (06) e9809
  • 25 Patel N. Twelve-month follow-up of a randomized trial assessing cooled radiofrequency denervation as a treatment for sacroiliac region pain. Pain Pract 2016; 16 (02) 154-167
  • 26 Bellini M, Barbieri M. Cooled radiofrequency system relieves chronic knee osteoarthritis pain: the first case-series. Anaesthesiol Intensive Ther 2015; 47 (01) 30-33
  • 27 Bogduk N. Pulsed radiofrequency. Pain Med 2006; 7 (05) 396-407
  • 28 Cahana A, Van Zundert J, Macrea L, van Kleef M, Sluijter M. Pulsed radiofrequency: current clinical and biological literature available. Pain Med 2006; 7 (05) 411-423
  • 29 Kvarstein G. Pulsed radiofrequency-time for a clinical pause and more science. Scand J Pain 2012; 3 (03) 124-126
  • 30 Tun K, Cemil B, Gurcay AG. , et al. Ultrastructural evaluation of pulsed radiofrequency and conventional radiofrequency lesions in rat sciatic nerve. Surg Neurol 2009; 72 (05) 496-500
  • 31 Watanabe I, Masaki R, Min N. , et al. Cooled-tip ablation results in increased radiofrequency power delivery and lesion size in the canine heart: importance of catheter-tip temperature monitoring for prevention of popping and impedance rise. J Interv Card Electrophysiol 2002; 6 (01) 9-16
  • 32 Lorentzen T. A cooled needle electrode for radiofrequency tissue ablation: thermodynamic aspects of improved performance compared with conventional needle design. Acad Radiol 1996; 3 (07) 556-563
  • 33 Menzies RD, Hawkins JK. Analgesia and improved performance in a patient treated by cooled radiofrequency for pain and dysfunction postbilateral total knee replacement. Pain Pract 2015; 15 (06) E54-E58
  • 34 Reddy RD, McCormick ZL, Marshall B, Mattie R, Walega DR. Cooled radiofrequency ablation of genicular nerves for knee osteoarthritis pain: a protocol for patient selection and case series. Anesth Pain Med 2016; 6 (06) e39696
  • 35 Farrell ME, Gutierrez G, Desai MJ. Demonstration of lesions produced by cooled radiofrequency neurotomy for chronic osteoarthritic knee pain: a case presentation. PM R 2017; 9 (03) 314-317
  • 36 Rojhani S, Qureshi Z, Chhatre A. Water-cooled radiofrequency provides pain relief, decreases disability, and improves quality of life in chronic knee osteoarthritis. Am J Phys Med Rehabil 2017; 96 (01) e5-e8
  • 37 McCormick ZL, Korn M, Reddy R. , et al. Cooled radiofrequency ablation of the genicular nerves for chronic pain due to knee osteoarthritis: six-month outcomes. Pain Med 2017; 18 (09) 1631-1641
  • 38 Davis T, Loudermilk E, DePalma M. , et al. Prospective, multicenter, randomized, crossover clinical trial comparing the safety and effectiveness of cooled radiofrequency ablation with corticosteroid injection in the management of knee pain from osteoarthritis. Reg Anesth Pain Med 2018; 43 (01) 84-91
  • 39 McCormick ZL, Reddy R, Korn M. , et al. A prospective randomized trial of prognostic genicular nerve blocks to determine the predictive value for the outcome of cooled radiofrequency ablation for chronic knee pain due to osteoarthritis. Pain Med 2018; 19 (08) 1628-1638
  • 40 Walega D, Roussis C. Third-degree burn from cooled radiofrequency ablation of medial branch nerves for treatment of thoracic facet syndrome. Pain Pract 2014; 14 (06) e154-e158
  • 41 Stolzenberg D, Gordin V, Vorobeychik Y. Incidence of neuropathic pain after cooled radiofrequency ablation of sacral lateral branch nerves. Pain Med 2014; 15 (11) 1857-1860