The Effectiveness of Intraarticular Pulse Radiofrequency Treatment with Two Different Imaging Methods in Patients with Gonatrosis
Project no. 135 · Status: Kapanmış · 2017
Summary
In this study, our aim is, can the treatment effect of intraarticular pulse radiofrequency, which is one of the minimally invasive methods, be increased with USG or Scope? in patients with gonatrosis who cannot provide sufficient pain palliation with conventional treatment methods (such as physical therapy, medical therapy, intraarticular hyaluronic acid). During the study, our theory was that the superiority of USG use in demonstrating the presence of effusion and reversing it in patients with advanced gonarthrosis would also increase the effectiveness of our intraarticular pulse radiofrequency treatment. 7 patients from Group 1 (USG) and 8 patients from Group 2 (Scopy) were included in the study. Out of 15 patients in our study, 11 patients (73.3%) were female and 4 patients (26.7%) were male. The ages of the patients were between 41 and 87 years, and the mean age was 59.3 ± 12.5 years. Symptom durations are between 1-18 years and the average symptom duration is 7.75 ± 1.12 years. The BMI of the patients was calculated as 20.24-31.21 and the mean was found to be 31.40 ± 4.78 (kg / m2). In our study, we wanted to determine the changes in WOMAC, Lequesne index and SF-36 scores according to the control values in the 1st and 3rd months after treatment. However, due to the current conditions, we could not reach sufficient data in the number of patients and their follow-up. In our study, we aimed to determine the correlation between the presence of effusion and treatment efficacy scores and the effect of the imaging method used on this correlation. Again, due to insufficient data, no results were obtained on this issue. In our study, we also questioned the patient and doctor satisfaction according to the imaging method. Our preliminary hypothesis was that we would treat patients faster with fluoroscopy, and obtain more information from the doctor's perspective with USG. For this reason, we assumed that the patients would be more satisfied with the fluoroscopy treatments, and the doctors would be more satisfied with the procedures performed with USG. However, as a result of our study, we found that both patients and doctors evaluated both methods with a high level of satisfaction. With this result, we conclude that intraarticular procedures performed with a blind technique are performed more effectively and comfortably by using imaging methods.