Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety

Purpose. To retrospectively evaluate the effectiveness of intra-articular application of Sluijter-Teixera Poisson pulsed radiofrequency (STP PRF) in knee osteoarthritis symptomatic patients with chronic pain refractory to conservative therapies. Materials and Methods. Institutional database research...

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Main Authors: D. Filippiadis, A. Tsochatzis, E. Petsatodis, S. Galanis, G. Velonakis, C. Giankoulof, A. Kelekis
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2021/5554631
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author D. Filippiadis
A. Tsochatzis
E. Petsatodis
S. Galanis
G. Velonakis
C. Giankoulof
A. Kelekis
author_facet D. Filippiadis
A. Tsochatzis
E. Petsatodis
S. Galanis
G. Velonakis
C. Giankoulof
A. Kelekis
author_sort D. Filippiadis
collection DOAJ
description Purpose. To retrospectively evaluate the effectiveness of intra-articular application of Sluijter-Teixera Poisson pulsed radiofrequency (STP PRF) in knee osteoarthritis symptomatic patients with chronic pain refractory to conservative therapies. Materials and Methods. Institutional database research of two centers identified 39 cases of knee osteoarthritis patients treated with intra-articular STP PRF. Pain prior and one-week and one-, three-, six-, and twelve-month post-STP PRF was compared by means of a numeric visual scale (NVS) questionnaire. Cardiovascular and Interventional Radiological Society of Europe (CIRSE) classification system was used for complications reporting. Mean patient age was 71.59 ± 11.99 years, mean body mass index was 30.23 ± 4.69, and male/female ratio was 9/30. Results. Mean baseline pain score was 8.31 ± 1.70 NVS units. This was reduced to a mean value of 0.90 ± 1.50 NVS units one-week post-RF, 1.08 ± 1.53 at one month, 1.54 ± 1.88 at three months, 2.33 ± 2.17 at six months, and 3.23 ± 2.23 at 12 months of follow-up p<0.01. Pain decrease of more than 4 NVS units was noticed in 35/39 knees (89.7%) at first week, 36/39 knees (92.3%) at first month, 35/39 knees (89.7%) at three months, 32/39 knees (82.1%) at six months, and 25/39 knees (64.1%) at one year. There was no recurrence during the follow-up. No complication was observed. Conclusions. Percutaneous, intra-articular application of STP PRF is an effective and safe technique for chronic pain reduction in patients with knee osteoarthritis. Results seem to be reproducible and long lasting with significant patient satisfaction at 12-month follow-up.
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spelling doaj-art-726fb6447a1c4a5fb073079464078ab92025-02-03T06:06:29ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/55546315554631Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and SafetyD. Filippiadis0A. Tsochatzis1E. Petsatodis2S. Galanis3G. Velonakis4C. Giankoulof5A. Kelekis62nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, Greece2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, GreeceInterventional Radiology Department, George Papanikolaou General Hospital, Thessaloniki 57010, GreeceInterventional Radiology Department, George Papanikolaou General Hospital, Thessaloniki 57010, Greece2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, GreeceInterventional Radiology Department, George Papanikolaou General Hospital, Thessaloniki 57010, Greece2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, GreecePurpose. To retrospectively evaluate the effectiveness of intra-articular application of Sluijter-Teixera Poisson pulsed radiofrequency (STP PRF) in knee osteoarthritis symptomatic patients with chronic pain refractory to conservative therapies. Materials and Methods. Institutional database research of two centers identified 39 cases of knee osteoarthritis patients treated with intra-articular STP PRF. Pain prior and one-week and one-, three-, six-, and twelve-month post-STP PRF was compared by means of a numeric visual scale (NVS) questionnaire. Cardiovascular and Interventional Radiological Society of Europe (CIRSE) classification system was used for complications reporting. Mean patient age was 71.59 ± 11.99 years, mean body mass index was 30.23 ± 4.69, and male/female ratio was 9/30. Results. Mean baseline pain score was 8.31 ± 1.70 NVS units. This was reduced to a mean value of 0.90 ± 1.50 NVS units one-week post-RF, 1.08 ± 1.53 at one month, 1.54 ± 1.88 at three months, 2.33 ± 2.17 at six months, and 3.23 ± 2.23 at 12 months of follow-up p<0.01. Pain decrease of more than 4 NVS units was noticed in 35/39 knees (89.7%) at first week, 36/39 knees (92.3%) at first month, 35/39 knees (89.7%) at three months, 32/39 knees (82.1%) at six months, and 25/39 knees (64.1%) at one year. There was no recurrence during the follow-up. No complication was observed. Conclusions. Percutaneous, intra-articular application of STP PRF is an effective and safe technique for chronic pain reduction in patients with knee osteoarthritis. Results seem to be reproducible and long lasting with significant patient satisfaction at 12-month follow-up.http://dx.doi.org/10.1155/2021/5554631
spellingShingle D. Filippiadis
A. Tsochatzis
E. Petsatodis
S. Galanis
G. Velonakis
C. Giankoulof
A. Kelekis
Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
Pain Research and Management
title Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
title_full Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
title_fullStr Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
title_full_unstemmed Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
title_short Intra-Articular Application of Sluijter-Teixera Poisson Pulsed Radiofrequency in Symptomatic Patients with Knee Osteoarthritis: Focus upon Clinical Efficacy and Safety
title_sort intra articular application of sluijter teixera poisson pulsed radiofrequency in symptomatic patients with knee osteoarthritis focus upon clinical efficacy and safety
url http://dx.doi.org/10.1155/2021/5554631
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