Review of Extraosseous Applications of Thermal Ablation in the Treatment of Moderate to Severe Large Joint Osteoarthritis. Semin Musculoskelet Radiol 2021 Dec;25(6):745-755
Date
12/23/2021Pubmed ID
34937115DOI
10.1055/s-0041-1735474Scopus ID
2-s2.0-85122200564 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Osteoarthritis (OA) is the most common joint disease worldwide, leading to significant pain, restricted range of motion, and disability. A gap exists between short- and long-term symptom-relieving therapies. Although arthroplasty is an effective treatment for symptomatic end-stage disease, most patients ultimately do not receive a joint replacement due to suboptimal surgical qualifications, comorbidities, or an aversion to surgery. The lack of additional treatment options in this setting makes opioid agonists a commonly used pharmacologic agent, contributing to the addiction epidemic that greatly afflicts our communities. Cooled radiofrequency ablation (CRFA) has arisen as a treatment modality in the setting of moderate to severe OA among patients refractory to conservative management, generally showing greater efficacy compared with other existing strategies. This review focuses on the benefits of CRFA and its technical feasibility as a management option among patients experiencing debilitating large joint OA with limited clinical options.
Author List
Tran A, Reiter DA, Prologo JD, Cristescu M, Gonzalez FMAuthor
Mircea M. Cristescu MD, MBA Assistant Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansInjections, Intra-Articular
Knee Joint
Osteoarthritis, Knee
Treatment Outcome