دورية أكاديمية
أعرض في EDS

ULTRASOUND-GUIDED GENICULAR NERVE BLOCK FOR KNEE OSTEOARTHRITIS: A CASE SERIES.

التفاصيل البيبلوغرافية
العنوان: ULTRASOUND-GUIDED GENICULAR NERVE BLOCK FOR KNEE OSTEOARTHRITIS: A CASE SERIES.
المؤلفون: Ramalho RC; Instituto Prevent Senior, São Paulo, SP, Brazil., Fernandes TD; Instituto Prevent Senior, São Paulo, SP, Brazil., Peraro FF; Instituto Prevent Senior, São Paulo, SP, Brazil., Pugliese GM; Instituto Prevent Senior, São Paulo, SP, Brazil., Arliani GG; Instituto Prevent Senior, São Paulo, SP, Brazil., Ferreira GF; Instituto Prevent Senior, São Paulo, SP, Brazil.
المصدر: Acta ortopedica brasileira [Acta Ortop Bras] 2024 Jul 26; Vol. 32 (3), pp. e277781. Date of Electronic Publication: 2024 Jul 26 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Atha Comunicação e Editora Country of Publication: Brazil NLM ID: 9804509 Publication Model: eCollection Cited Medium: Print ISSN: 1413-7852 (Print) Linking ISSN: 14137852 NLM ISO Abbreviation: Acta Ortop Bras Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Sao Paulo : Atha Comunicação e Editora
Original Publication: Sao Paulo : Redprint Editora
مستخلص: Objective: Knee genicular nerve blocks have been a topic of discussion among various types of treatment for knee osteoarthritis. This study aims to evaluate the pain and function of patients diagnosed with knee osteoarthritis after undergoing ultrasound-guided genicular nerve blockade using pharmacological agents.
Methods: The study included 36 patients diagnosed with knee osteoarthritis, comprising 17 bilateral cases, totaling 53 knees undergoing UGNB using a mixture of triamcinolone, ropivacaine, and lidocaine under ultrasound guidance. Epidemiological data, pain outcomes measured by the Visual Analog Scale (VAS), and function assessed using the Western Ontario and McMaster Universities (WOMAC) score were evaluated before and after 12 weeks of the procedure.
Results: The mean age was 75.5 years (standard deviation of 9.4 years), with a predominance of females and right-sided involvement. There was a mean reduction of 3.0 points in VAS (p < 0.001) and 15.4 points in WOMAC (p < 0.001). Two cases reported only minor and transient complications related to the procedure (skin anesthesia and edema).
Conclusion: Ultrasound-guided genicular nerve blockade using pharmacological agents demonstrated pain reduction and improved function with a low complication rate after 12 weeks in patients with knee gonarthrosis. Level of Evidence IV, Case Series.
Competing Interests: All authors declare no potential conflict of interest related to this article.
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فهرسة مساهمة: Keywords: Anesthetics; Knee Osteoarthritis; Nerve Block; Pain; Ultrasonography
Local Abstract: [Publisher, Portuguese] Os bloqueios geniculares do joelho têm sido tema de discussão entre os diversos tipos de tratamento da gonartrose. Este estudo tem por objetivo avaliar a dor e a função dos pacientes com diagnóstico de osteoartrose do joelho, após realização do procedimento de bloqueio farmacológico dos nervos geniculares (BFNG) guiado por ultrassom. [Publisher, Portuguese] O estudo incluiu 36 pacientes com diagnóstico de gonartrose, sendo 17 casos bilaterais, totalizando 53 joelhos submetidos ao BFNG, com a mistura de triancinolona, ropivacaína e lidocaína guiado por ultrassom. Avaliou-se dados epidemiológicos, desfechos de dor pela Escala Visual Analógica (EVA) e função com escore Western Ontario and Mcmaster Universities (WOMAC) antes e após 12 semanas do procedimento. [Publisher, Portuguese] A idade média encontrada foi de 75,5 anos (desvio padrão de 9,4 anos), com predominância do sexo feminino e do lado direito. Houve uma redução média na EVA de 3,0 pontos (p < 0,001) e no WOMAC de 15,4 (p < 0,001). Em dois casos, relataram apenas complicações menores e transitórias relacionadas ao procedimento (anestesia da pele e edema). [Publisher, Portuguese] O bloqueio farmacológico dos nervos geniculares guiado por ultrassom demonstrou redução da dor e melhora na função, com baixa taxa de complicação após 12 semanas nos pacientes com gonartrose. Nível de evidência IV, Série de Casos.
تواريخ الأحداث: Date Created: 20240801 Latest Revision: 20240802
رمز التحديث: 20240802
مُعرف محوري في PubMed: PMC11288321
DOI: 10.1590/1413-785220243203e277781
PMID: 39086844
قاعدة البيانات: MEDLINE
الوصف
تدمد:1413-7852
DOI:10.1590/1413-785220243203e277781