Femoral and Obturator Nerve Articular Branches Prf
ConditionHip Ostearthritis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorDiskapi Teaching and Research Hospital
About this trial
In our clinic, patients undergoing pulsed radiofrequency treatment of the femoral and obturator nerve articular branches under ultrasound guidance for pain management due to hip and groin pain associated with hip osteoarthritis will have the efficacy of these methods on pain compared with the Numeric Rating Scale (NRS) and Oxford Hip Score (OHS) at 2, 6, 12 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. Patients with hip and groin pain who have been diagnosed with hip osteoarthritis by direct radiography
2. Patients who have had hip pain above VAS 5 for more than 6 weeks
3. Failure of pain treatment with conservative methods such as analgesics and physical therapy
Disqualifiers
1. Patients with lumbar radiculopathy and axial back pain, sacroiliac joint, connective tissue disease
2. Patients who do not attend follow-up appointments regularly or cannot be reached by phone
3. Patients who started additional analgesic medication or underwent additional interventional procedures after the initial interventional procedure
Trial design
Design model
Single group
Treatments tested in this trial
ultrasound-guided femoral and obturator nerve articular branches pulsed radiofrequency
Procedure/SurgeryHemodynamic monitoring is provided. The hip joint where the procedure will be performed is cleaned with povidone-iodine. Sterile draping is performed. For PRF application to the articular branches of the femoral nerve, a convex ultrasound probe is first used to locate the articular branches of the femoral nerve in the groin area, followed by the articular branches of the obturator nerve. The radiofrequency cannula is inserted sequentially into the target points and sensory feedback is obtained. Then, a pulsed radiofrequency current, which has therapeutic properties for chronic pain and does not damage tissues by exceeding a temperature of 42 degrees, is applied to the relevant nerve root for 240 seconds. Subsequently, an injectate consisting of 2 cc of 5% bupivacaine, 4 mg of dexamethasone, and 2 cc of physiological saline is administered to the same nerve. Translated with DeepL.com (free version)
Treatment groups
40 Participants
are divided into 1 treatment groupGroup A: pulsed radiofrequency groupOther 1 intervention
Trial outcomes
Primary outcomes
1
numeric rating scale
The numeric rating scale (NRS) is a pain screening tool, commonly used to assess pain severity at that moment in time using a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"
Time frame
Change from baseline to 2nd 6 th and 12th weeks after treatmentSecondary outcomes
1
oxford hip score
The Oxford Hip Score (OHS) is a joint-specific, patient-reported outcome measure designed to assess disability in patients witth hip osteoarthritis
Time frame
Change from baseline to 2nd 6th and 12th weeks after treatmentSponsors and contacts
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Source ClinicalTrials.gov