title: Analgesia and Improved Performance in a Patient Treated by Cooled Radiofrequency for Pain and Dysfunction Postbilateral Total Knee Replacement.
abstract: Total knee replacement (TKR) is a terminal therapy for osteoarthritis (OA) of the knee. While TKR results are generally satisfactory, a significant proportion of patients experience persistent pain lasting > 3 months following surgery, even after a technically acceptable operation. Knee pain of any kind post-TKR has been reported in up to 53% of patients, while 15% of patients have reported severe pain. Pain post-TKR is worse than preoperative pain in 7%, often resulting in surgical revision. The clinical experience of a patient that originally presented to an orthopedic surgeon with OA of both knees demonstrates an alternative relatively noninvasive pain management strategy: cooled radiofrequency (CRF) ablation of sensory nerves.
authors: JPS Orthopedics and Sports Medicine, JPS Health System, Arlington, TX, U.S.A.
authors: Robert D
authors: RD
authors: Menzies
authors: JPS Orthopedics and Sports Medicine, JPS Health System, Arlington, TX, U.S.A.
authors: Jeffery K
authors: JK
authors: Hawkins
mesh_terms: D000368:Aged; D000698:Analgesia / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D008297:Male; D020370:Osteoarthritis, Knee / Q000601:surgery; D059408:Pain Management / Q000379:methods*; D010149:Postoperative Pain / Q000209:etiology / Q000601:surgery*
keywords: Pain; ablation; case report; cooled radiofrequency; knee; neurotomy; radiofrequency; total knee replacement