medigraphic.com
ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)

2025, Number 4

<< Back Next >>

Rev Mex Anest 2025; 48 (4)

Effectiveness of bipolar denervation and monopolar denervation in individuals with knee pain: systematic review

Balcázar-de LS, Beas-Magdaleno GA

Language: Spanish
References: 25
Page: 236-241
PDF size: 468.55 Kb.


ABSTRACT

Introduction: globular pain significantly affects the quality of life of patients. Radiofrequency denervation, bipolar or monopolar, are promising treatments. Objective: to perform a systematic review on the effectiveness of bipolar and monopolar denervation in individuals with gonalgia. Material and methods: a search was performed in PubMed, Cochrane Library and Google Scholar. Original studies comparing bipolar, monopolar or both denervation with other treatments or with each other in patients with gonalgia were included. PRISMA criteria for systematic reviews were followed. Results: DMo was more common. Two studies compared DMo vs DBi, DBi was superior in pain reduction and improvement in quality of life. DBi as monotherapy reported significant reductions in pain. Eight studies compared DMo vs intra-articular injections, showing superiority of DMo in pain and function. DMo was also shown to be superior to exercise. Conclusions: DBi and DMo appear to be effective for the treatment of knee pain, with a slight advantage for DBi. DMo showed superiority over several conservative therapies. Further comparative studies between DBi and DMo are needed to confirm these findings.


REFERENCES

  1. Dulay GS, Cooper C, Dennison EM. Knee pain, knee injury, knee osteoarthritis & work. Best Pract Res Clin Rheumatol. 2015;29:454-461. doi: 10.1016/j.berh.2015.05.005.

  2. Dantas LO, Salvini T de F, McAlindon TE. Knee osteoarthritis: key treatments and implications for physical therapy. Braz J Phys Ther. 2021;25:135-146. doi: 10.1016/j.bjpt.2020.08.004.

  3. Orhurhu V, Urits I, Grandhi R, Abd-Elsayed A. Systematic review of radiofrequency ablation for management of knee pain. Curr Pain Headache Rep. 2019;23:55. doi: 10.1007/s11916-019-0792-y.

  4. Walsh T, Malhotra R, Sharma M. Radiofrequency techniques for chronic pain. BJA Educ. 2022;22:474-483.

  5. Boudier?Revéret M, Thu AC, Hsiao M, Shyu S, Chang MC. The effectiveness of pulsed radiofrequency on joint pain: a narrative review. Pain Practice. 2020;20:412-421. doi: 10.1111/papr.12863.

  6. Gautam S, Singh P, Gopal VG, Agarwal A, Kumar S, Khuba S, et al. Efficacy of Radiofrequency Lesioning for Chronic Spinal Pain. Ind J Pain. 2021;35:105-122. doi: 10.4103/ijpn.ijpn_165_20.

  7. Farì G, de Sire A, Fallea C, Albano M, Grossi G, Bettoni E, et al. Efficacy of radiofrequency as therapy and diagnostic support in the management of musculoskeletal pain: a systematic review and meta-analysis. Diagnostics (Basel). 2022;12:600. doi: 10.3390/diagnostics12030600.

  8. Huaranga MAR, Villanueva-Carpintero MG, Plasencia Ezaine AE, Calle-Ochoa J, Vedia IR, Arenal-Lopez R, et al. Bipolar radiofrequency ablation of genicular nerves in chronic knee pain: a novel technique for more complete sensory denervation. J Back Musculoskelet Rehabil. 2024;37:241-248. doi: 10.3233/BMR-220400.

  9. Malaithong W, Tontisirin N, Seangrung R, Wongsak S, Cohen SP. Bipolar radiofrequency ablation of the superomedial (SM), superolateral (SL) and inferomedial (IM) genicular nerves for chronic osteoarthritis knee pain: a randomized double-blind placebo-controlled trial with 12-month follow-up. Reg Anesth Pain Med. 2023;48:151-160. doi: 10.1136/rapm-2022-103976.

  10. Elemam EM, Abdel-Dayem OT, Mousa SA, Mohammed HM. Ultrasound-guided monopolar versus bipolar radiofrequency ablation for genicular nerves in chronic knee osteoarthritis pain: a randomized controlled study. Ann Med Surg. 2022;77:103680.. doi: 10.1016/j.amsu.2022.103680.

  11. Singh JR, Kwon SS, Schirripa FV, Habibi BA, Rand E. Bipolar radiofrequency neurotomy of the genicular nerves for chronic pain due to knee osteoarthritis. HSS J. 2022;18:229-234. doi: 10.1177/15563316211040416.

  12. Fawzy A, Badawy AT, Mohamed AE, Abdelrahman W, Alham M. Comparison of intraarticular injection versus radiofrequency neurotomy in knee osteoarthritis. Sohag Med J. 2021;25:33-40. doi: 10.21608/SMJ.2020.43932.1200.

  13. El-Tamboly S, Medhat M, Khattab R, Darwish H, Deghady A. Pulsed radiofrequency ablation of genicular nerve versus intra-articular radiofrequency ablation combined with platelets rich plasma for chronic kneeosteoarthritis. Egypt J Anaesth. 2021;37:317-325. doi: 10.1080/11101849.2021.1949679.

  14. Elawamy A, Kamel E, Mahran S, Abdellatif H, Hassanien M. Efficacy of genicular nerve radiofrequency ablation versus intra-articular platelet rich plasma in chronic knee osteoarthritis: a single-blind randomized clinical trial. Pain Physician. 2021;24:127-134.

  15. Chen AF, Khalouf F, Zora K, DePalma M, Kohan L, Guirguis M, et al. Cooled radiofrequency ablation compared with a single injection of hyaluronic acid for chronic knee pain: a multicenter, randomized clinical trial demonstrating greater efficacy and equivalent safety for cooled radiofrequency ablation. J Bone Joint Surg Am. 2020;102:1501-1510. doi: 10.2106/JBJS.19.00935.

  16. Han Q, Ma Y, Jia P, Wang X, Wang B, Zheng Y. A randomized controlled pilot study comparing the efficacy of pulsed radiofrequency combined with exercise versus exercise alone in pain relief and functional improvement for chronic knee osteoarthritis. Pain Pract. 2021;21:160-170. doi: 10.1111/PAPR.12942.

  17. Davis T, Loudermilk E, Depalma M, et al. Twelve-month analgesia and rescue, by cooled radiofrequency ablation treatment of osteoarthritic knee pain: results from a prospective, multicenter, randomized, cross-over trial. Reg Anesth Pain Med. 2019;44:499-506. doi: 10.1136/RAPM-2018-100051.

  18. Monerris-Tabasco MM, Roca-Amatria G, Ríos-Márquez N, Jiménez-Capel Y, Samper-Bernal D. Assessment of the effectiveness and safety of two radiofrequency techniques for the treatment of knee pain secondary to gonarthrosis. Prospective randomized double blind study. Rev Esp Anestesiol Reanim. 2019;66:362-369. doi: 10.1016/J.REDAR.2019.03.011.

  19. Jadon A, Jain P, Motaka M, Swarupa C, Amir M. Comparative evaluation of monopolar and bipolar radiofrequency ablation of genicular nerves in chronic knee pain due to osteoarthritis. Indian J Anaesth. 2018;62:876. doi: 10.4103/ija.IJA_528_18.

  20. Xiao L, Shu F, Xu C, Zhang Z, Huang L, Wang X, et al. Highly selective peripheral nerve radio frequency ablation for the treatment of severe knee osteoarthritis. Exp Ther Med. 2018;16:3973. doi: 10.3892/ETM.2018.6658.

  21. El-Hakeim E, Elawamy A, Kamel E. Fluoroscopic guided radiofrequency of genicular nerves for pain alleviation in chronic knee osteoarthritis: a single-blind randomized controlled trial. Pain Physician. 2018;21:169-177.

  22. Ray D, Goswami S, Dasgupta S, Ray S, Basu S. Intra-articular hyaluronic acid injection versus RF ablation of genicular nerve for knee osteoarthritis pain: a randomized, open-label, clinical study. Indian J Pain. 2018;32:36. doi: 10.4103/IJPN.IJPN_2_18.

  23. Sari S, Aydin ON, Turan Y, Ozlulerden P, Efe U, Kurt Omurlu I. 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;21:1772-1778. doi: 10.1111/1756-185X.12925.

  24. Sari S, Aydin ON, Turan Y, Sen S, Ozlulerden P, Omurlu IK, et al. Which imaging method should be used for genicular nerve radio frequency thermocoagulation in chronic knee osteoarthritis? J Clin Monit Comput. 2017;31:797-803. doi: 10.1007/S10877-016-9886-9.

  25. Choi WJ, Hwang SJ, Song JG, Leem JG, Kang YU, Park PH, et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain. 2011;152:481-487. doi: 10.1016/J.PAIN.2010.09.029.




2020     |     www.medigraphic.com