Indicações da neurotomia dos nervos geniculares por radiofrequência para o tratamento da osteoartrite do joelho: uma revisão de literatura^[∗]

Resumo

A osteoartrite é uma das patologias mais frequentes e incapacitantes na atualidade, principalmente do joelho. Dentre as abordagens possíveis para osteoartrite, a neurotomia dos nervos geniculares por radiofrequência vem se destacando. Todavia, por se tratar de um procedimento relativamente novo, as indicações para realização ainda não estão bem definidas. O principal objetivo desta revisão foi identificar as principais indicações do uso da radiofrequência para o tratamento da osteoartrite do joelho na literatura médica. Foi realizada revisão da literatura em janeiro de 2018, através de pesquisa nas bases de dados PubMed, Clinicalkey e Google Scholar. Após revisão dos principais artigos no assunto, foi concluído que as principais indicações do uso da radiofrequência para o tratamento da osteoartrite do joelho foram: pacientes com osteoartrite grau 3 e 4 da classificação de Kellgren-Lawrence, com dor de moderada a severa e falha do tratamento conservador, principalmente idosos; persistência da dor, mesmo após realizado artroplastia total de joelho; pacientes com indicação de artroplastia total de joelho e que se recusam a submeter-se ao tratamento cirúrgico.

Palavras-chave

procedimentos neurocirúrgicos - ondas de rádio - rizotomia - osteoartrite do joelho - articulação do joelho

• Referências

• 1 McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM. , et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22 (03) 363-388
• 2 Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J. , et al; American College of Rheumatology. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken) 2012; 64 (04) 465-474
• 3 Wannmacher L. Osteoartrose de joelhos Parte II: Evidências sobre abordagens não-medicamentosas. In: Uso racional de medicamentos: temas selecionados. Brasília, DF: Organização Pan-Americana da Saúde/Organização Mundial da Saúde; 2006. . (v. 3, n. 4).
• 4 Roos EM, Arden NK. Strategies for the prevention of knee osteoarthritis. Nat Rev Rheumatol 2016; 12 (02) 92-101
• 5 Bruyère O, Cooper C, Pelletier JP, Branco J, Luisa Brandi M, Guillemin F. , 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
• 6 Herrero-Beaumont G, Roman-Blas JA, Bruyère O, Cooper C, Kanis J, Maggi S. , et al. Clinical settings in knee osteoarthritis: Pathophysiology guides treatment. Maturitas 2017; 96: 54-57
• 7 Henrotin Y, Raman R, Richette P, Bard H, Jerosch J, Conrozier T. , et al. Consensus statement on viscosupplementation with hyaluronic acid for the management of osteoarthritis. Semin Arthritis Rheum 2015; 45 (02) 140-149
• 8 Herrero-Beaumont G, Ivorra JA, Del Carmen Trabado M, Blanco FJ, Benito P, Martín-Mola E. , et al. Glucosamine sulfate in the treatment of knee osteoarthritis symptoms: a randomized, double-blind, placebo-controlled study using acetaminophen as a side comparator. Arthritis Rheum 2007; 56 (02) 555-567
• 9 Conaghan P. DMARDs in Osteoarthritis: What is the Evidence?. Rheumatology 2014; 53 (Suppl. 01) i12-i13
• 10 Silveira N, Streck EL. Tratamentos fisioterapêuticos na osteoartrose de joelho: uma revisão. Inova Saúde. 2014; 3 (01) 46-57
• 11 Moseley JB, O'Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH. , et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 2002; 347 (02) 81-88
• 12 Richmond JC. Surgery for osteoarthritis of the knee. Rheum Dis Clin North Am 2008; 34 (03) 815-825
• 13 Provenzano DA, Lutton EM, Somers DL. The effects of fluid injection on lesion size during bipolar radiofrequency treatment. Reg Anesth Pain Med 2012; 37 (03) 267-276
• 14 Cosman Jr ER, Dolensky JR, Hoffman RA. Factors that affect radiofrequency heat lesion size. Pain Med 2014; 15 (12) 2020-2036
• 15 Provenzano DA, Liebert MA, Somers DL. Increasing the NaCl concentration of the preinjected solution enhances monopolar radiofrequency lesion size. Reg Anesth Pain Med 2013; 38 (02) 112-123
• 16 Bhatia A, Peng P, Cohen SP. Radiofrequency Procedures to Relieve Chronic Knee Pain: An Evidence-Based Narrative Review. Reg Anesth Pain Med 2016; 41 (04) 501-510
• 17 Braun Filho JL, Braun LM. Radiofrequência na dor crônica Radiofrequency in chronic pain Radiofrecuencia en el dolor crónico. Coluna/Columna 2009; 8 (02) 200-205
• 18 Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983; 17 (01) 45-56
• 19 McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): a review of its utility and measurement properties. Arthritis Rheum 2001; 45 (05) 453-461
• 20 Steinert T, Eisele F, Längle G, Albani C, Flammer E, Borbé R. [PGI-I (patient's global impression) as an outcome and quality indicator of psychiatric in-patient treatment: results and concordance with doctor's assessments]. Psychiatr Prax 2010; 37 (07) 343-349
• 21 Silva AL, Demange MK, Gobbi RG, Silva TF, Pécora JR, Croci AT. Translation and Validation of the Knee Society Score - KSS for Brazilian Portuguese. Acta Ortop Bras 2012; 20 (01) 25-30
• 22 Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ. , et al. The use of the Oxford hip and knee scores. J Bone Joint Surg Br 2007; 89 (08) 1010-1014
• 23 Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011; 63 (Suppl. 11) S240-S252
• 24 Goldberg D, Bridges K, Duncan-Jones P, Grayson D. Detecting anxiety and depression in general medical settings. BMJ 1988; 297 (6653): 897-899
• 25 Kirdemir P, Çatav S, Alkaya Solmaz F. The genicular nerve: radiofrequency lesion application for chronic knee pain. Turk J Med Sci 2017; 47 (01) 268-272
• 26 Santana Pineda MM, Vanlinthout LE, Moreno Martín A, van Zundert J, Rodriguez Huertas F, Novalbos Ruiz JP. Analgesic Effect and Functional Improvement Caused by Radiofrequency Treatment of Genicular Nerves in Patients With Advanced Osteoarthritis of the Knee Until 1 Year Following Treatment. Reg Anesth Pain Med 2017; 42 (01) 62-68
• 27 Sarı S, Aydın ON, Turan Y, Özlülerden P, Efe U, Kurt Ömürlü İ. Which one is more effective for the clinical treatment of chronic pain in knee osteoarthritis: radiofrequency neurotomy of the genicular nerves or intra-articular injection?. Int J Rheum Dis 2018; 21 (10) 1772-1778 . Doi: 10.1111/1756-185X.12925
• 28 Kesikburun S, Yaşar E, Uran A, Adigüzel E, Yilmaz B. Ultrasound-Guided Genicular Nerve Pulsed Radiofrequency Treatment For Painful Knee Osteoarthritis: A Preliminary Report. Pain Physician 2016; 19 (05) E751-E759
• 29 Bellini M, Barbieri M. Cooled radiofrequency system relieves chronic knee osteoarthritis pain: the first case-series. Anaesthesiol Intensive Ther 2015; 47 (01) 30-33
• 30 Davis T, Loudermilk E, DePalma M, Hunter C, Lindley D, Patel N. , 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
• 31 McCormick ZL, Korn M, Reddy R, Marcolina A, Dayanim D, Mattie 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
• 32 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
• 33 Qudsi-Sinclair S, Borrás-Rubio E, Abellan-Guillén JF, Padilla Del Rey ML, Ruiz-Merino G. A Comparison of Genicular Nerve Treatment Using Either Radiofrequency or Analgesic Block with Corticosteroid for Pain after a Total Knee Arthroplasty: A Double-Blind, Randomized Clinical Study. Pain Pract 2017; 17 (05) 578-588
• 34 Sarı S, Aydın ON, Turan Y, Şen S, Özlülerden P, Ömürlü İK. , et al. Which imaging method should be used for genicular nerve radio frequency thermocoagulation in chronic knee osteoarthritis?. J Clin Monit Comput 2017; 31 (04) 797-803
• 35 Shen WS, Xu XQ, Zhai NN, Zhou ZS, Shao J, Yu YH. Radiofrequency Thermocoagulation in Relieving Refractory Pain of Knee Osteoarthritis. Am J Ther 2017; 24 (06) e693-e700
• 36 Mogahed M, Mohamed R, Mohamed Refaat H. Intraarticular Pulsed Radiofrequency vs. Radiofrequency Neurotomy in Patients with Chronic Knee Pain due to Osteoarthritis (OA). J Anesth Clin Res 2017; 8 (10) 2-6
• 37 Mata J, Valentí P, Hernández B, Mir B, Aguilar JL. Study protocol for a randomised controlled trial of ultrasound-guided pulsed radiofrequency of the genicular nerves in the treatment of patients with osteoarthritis knee pain. BMJ Open 2017; 7 (11) e016377
• 38 Gulec E, Ozbek H, Pektas S, Isik G. Bipolar Versus Unipolar Intraarticular Pulsed Radiofrequency Thermocoagulation in Chronic Knee Pain Treatment: A Prospective Randomized Trial. Pain Physician 2017; 20 (03) 197-206
• 39 Masala S, Fiori R, Raguso M, Morini M, Calabria E, Simonetti G. Pulse-dose radiofrequency for knee osteoartrithis. Cardiovasc Intervent Radiol 2014; 37 (02) 482-487
• 40 Hashemi M, Nabi BN, Saberi A, Sedighinejad A, Haghighi M, Farzi F. , et al. The Comparison between two methods for the relief of knee osteoarthritis pain: radiofrequency and intra-periarticular ozone injection: a clinical trial study. Int J Med Res Health Sci. 2016; 5 (7S): 539-546
• 41 Ramírez Ogalla I, Martín AM, Santana Pineda MM, Rodríguez Huertas F. Eficacia de la radiofrecuencia convencional de geniculados para el tratamiento del dolor en gonartrosis moderada-severa. Rev Soc Esp Dolor. 2014; 21 (04) 212-218
• 42 Eyigor C, Eyigor S, Akdeniz S, Uyar M. Effects of intra-articular application of pulsed radiofrequency on pain, functioning and quality of life in patients with advanced knee osteoarthritis. J Back Musculoskeletal Rehabil 2015; 28 (01) 129-134
• 43 Yuan Y, Shen W, Han Q, Liang D, Chen L, Yin Q. , et al. Clinical observation of pulsed radiofrequency in treatment of knee osteoarthritis. Int J Clin Exp Med 2016; 9 (10) 20050-20055
• 44 van Kleef M, Barendse GA, Kessels A, Voets HM, Weber WE, de Lange S. Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine 1999; 24 (18) 1937-1942
• 45 Losina E, Walensky RP, Kessler CL, Emrani PS, Reichmann WM, Wright EA. , et al. Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume. Arch Intern Med 2009; 169 (12) 1113-1121 , discussion 1121–1122
• 46 Mancuso CA, Ranawat CS, Esdaile JM, Johanson NA, Charlson ME. Indications for total hip and total knee arthroplasties. Results of orthopaedic surveys. J Arthroplasty 1996; 11 (01) 34-46
• 47 Cheung A. Complications of total knee arthroplasty. Curr Orthop 2008; 22 (04) 274-283
• 48 Rodrigues AA, Karam FC, Scorsatto C, Martins C, Pires LA. Análise da reprodutibilidade da classificação de Kellgren e Lawrence para osteoartrose do joelho. Rev AMRIGS. 2012; 56 (02) 107-110