About this trial
This study aims to compare the efficacy of unipolar versus bipolar radiofrequency ablation (RFA) in knee osteoarthritis pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 50 years.
Both genders.
Diagnosed with chronic knee osteoarthritis (KOA) according to the American College of Rheumatology (ACR) criteria and confirmed with plain radiography as the gold standard for the diagnosis of KOA.
One chronic KOA pain not responding to other treatments as physiotherapy, oral analgesics, and intraarticular injection with hyaluronic acids or steroids.
Disqualifiers
Chronic knee pain induced by infection, inflammation, tumors, and fractures.
Prior knee surgery.
Acute knee pain.
Connective tissue diseases.
Trial design
Parallel
Treatments tested in this trial
Unipolar radiofrequency ablation
Procedure/SurgeryPatients will undergo radiofrequency ablation (RFA) of three genicular nerves (superior medial, superior lateral and inferior medial) with one cannula.
Bipolar radiofrequency ablation
Procedure/SurgeryPatients will undergo radiofrequency ablation (RFA) as unipolar RFA but with two cannulas.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of successful responders with a reduction 50% of pain
The proportion of successful responders with a reduction 50% of Visual Analog Scale (VAS) will be recorded.
Secondary outcomes
Degree of pain
Knee pain will be measured by visual Analog Scale (VAS) (0 - no pain to 10-worst imaginable pain) at baseline, 1, 4, 12 and 24 weeks after the procedure during movement.
Oxford Knee Score (OKS)
The functional changes in the knee will be assessed by Oxford Knee Score (OKS). It is simple, valid, self-administered, joint-specific 12-item questionnaires ranging from 12 to 60, with 12 referred to the best result.
Sponsors and contacts
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