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Radiofrequency Neurotomy In Relieving Chronic Knee Pain

Primary Purpose

Osteo Arthritis Knee, Pain, Chronic

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
radiofrequency
Paracetamol (conventional)
Ketorolac Tromethamine (conventional)
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteo Arthritis Knee

Eligibility Criteria

30 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • chronic arthritis according to the American College of Rheumatology criteria
  • diagnosed radiologically patients in stage 3 and 4, according to the Kellgren-Lawrence classification

Exclusion Criteria:

  • other causes of pain such as radiculopathy, neurological disorders, or intermittent claudication.
  • patients receive intraarticular steroid or hyaluronic acids during previous three months.
  • patients did previous knee surgery.
  • Patients with general contraindication to the application of invasive intervention such as hemorrhage, coagulation disorder, systemic infection or local infection.
  • patients with other connective tissue disease affecting the knee. And 6-psychiatric disorders.

Sites / Locations

  • Emad Zarief Kamel Said

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

radiofrequency group

conventional group

Arm Description

radiofrequency was done in the three genicular nerves upper medial and upper lateral and lower medial

the patients received conventional paracetamol and non steroidal antiinflammatory

Outcomes

Primary Outcome Measures

pain assessment by VAS scale
assessing pain by VAS scale

Secondary Outcome Measures

patient satisfaction by Likert scale
Likert scale to assess patients satisfaction
patient disability by Western Ontario McMaster Universities OA index
Western Ontario McMaster Universities OA index to assess disability

Full Information

First Posted
July 19, 2017
Last Updated
July 22, 2017
Sponsor
Assiut University
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1. Study Identification

Unique Protocol Identification Number
NCT03224637
Brief Title
Radiofrequency Neurotomy In Relieving Chronic Knee Pain
Official Title
Fluoroscopic Guided Radiofrequency of Genicular Nerves for Pain Alleviation in Chronic Knee Osteoarthritis : A Single-blind Randomized Controlled Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
July 2014 (Actual)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Assiut University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Osteoarthritis (OA) affects aged above 45 years. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.
Detailed Description
Osteoarthritis (OA) is commonest chronic arthritis affecting patients usually aged above 45 years. OA decreased health-related quality of life and increased economic costs. Radiofrequency (RF), was used for the treatment of chronic pain unresponsive to conservative therapies. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteo Arthritis Knee, Pain, Chronic

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
radiofrequency group
Arm Type
Active Comparator
Arm Description
radiofrequency was done in the three genicular nerves upper medial and upper lateral and lower medial
Arm Title
conventional group
Arm Type
Active Comparator
Arm Description
the patients received conventional paracetamol and non steroidal antiinflammatory
Intervention Type
Procedure
Intervention Name(s)
radiofrequency
Intervention Description
radiofrequency done in the three genicular nerves upper medial and upper lateral and lower medial
Intervention Type
Drug
Intervention Name(s)
Paracetamol (conventional)
Intervention Type
Drug
Intervention Name(s)
Ketorolac Tromethamine (conventional)
Primary Outcome Measure Information:
Title
pain assessment by VAS scale
Description
assessing pain by VAS scale
Time Frame
6 months
Secondary Outcome Measure Information:
Title
patient satisfaction by Likert scale
Description
Likert scale to assess patients satisfaction
Time Frame
6 months
Title
patient disability by Western Ontario McMaster Universities OA index
Description
Western Ontario McMaster Universities OA index to assess disability
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: chronic arthritis according to the American College of Rheumatology criteria diagnosed radiologically patients in stage 3 and 4, according to the Kellgren-Lawrence classification Exclusion Criteria: other causes of pain such as radiculopathy, neurological disorders, or intermittent claudication. patients receive intraarticular steroid or hyaluronic acids during previous three months. patients did previous knee surgery. Patients with general contraindication to the application of invasive intervention such as hemorrhage, coagulation disorder, systemic infection or local infection. patients with other connective tissue disease affecting the knee. And 6-psychiatric disorders.
Facility Information:
Facility Name
Emad Zarief Kamel Said
City
Assiut
ZIP/Postal Code
71111
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
29565947
Citation
El-Hakeim EH, Elawamy A, Kamel EZ, Goma SH, Gamal RM, Ghandour AM, Osman AM, Morsy KM. Fluoroscopic Guided Radiofrequency of Genicular Nerves for Pain Alleviation in Chronic Knee Osteoarthritis: A Single-Blind Randomized Controlled Trial. Pain Physician. 2018 Mar;21(2):169-177.
Results Reference
derived

Learn more about this trial

Radiofrequency Neurotomy In Relieving Chronic Knee Pain

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