Is Radiofrequency Ablation Superior to Intra-Articular Injections for the Treatment of Symptomatic Knee Osteoarthritis?-A Systematic Review.
Byron E ChalidisPericles PapadopoulosPanagiotis GivissisCharalampos PitsilosPublished in: Journal of personalized medicine (2023)
The radiofrequency ablation (RFA) is considered a valid, minimally invasive treatment modality for the management of symptomatic knee osteoarthritis (OA). The aim of this study was to compare the outcomes of RFA with that of commonly used intra-articular injections for the persistent knee pain due to OA. Medline/Pubmed and Scopus databases were systematically searched up to April 2023 to identify studies comparing the effect of RFA and intra-articular injections (IAIs) on knee OA. Nine studies including 899 patients fulfilled the eligibility criteria and were included in the systematic review. The RFA procedure was related with improved knee pain relief compared to IAIs at 3-, 6- and 12-month follow-up ( p < 0.001). Similarly, functional improvement was greater in RFA treatment than that observed after hyaluronic acid (HA), steroid or platelet-rich plasma (PRP) injections (Visual Analogue Scale p < 0.001, Numeric Rating Scale p = 0.019, Western Ontario and McMaster University Osteoarthritis Index p = 0.012). The overall procedural complication rate of RFA was 10.2% and was higher than steroid ( p = 0.023) and PRP ( p = 0.017) injections. However, no severe adverse events were reported. For patients with symptomatic knee OA, RFA seems to be more effective than IAIs in alleviating pain and improving joint function, despite the relatively higher incidence of non-serious adverse events. However, due to the limited number of studies and patients, this result should be interpreted with caution and not be generalized to the entire knee OA population.
Keyphrases
- knee osteoarthritis
- radiofrequency ablation
- platelet rich plasma
- systematic review
- end stage renal disease
- minimally invasive
- chronic pain
- chronic kidney disease
- newly diagnosed
- hyaluronic acid
- ultrasound guided
- ejection fraction
- neuropathic pain
- prognostic factors
- risk factors
- weight loss
- randomized controlled trial
- combination therapy
- type diabetes
- metabolic syndrome
- spinal cord injury
- adipose tissue
- insulin resistance
- smoking cessation
- meta analyses
- robot assisted
- deep learning
- drug induced
- anterior cruciate ligament
- psychometric properties