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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(03): 233-240
DOI: 10.1055/s-0039-1692121
DOI: 10.1055/s-0039-1692121
Artigo de Revisão | Review Article
Indicações da neurotomia dos nervos geniculares por radiofrequência para o tratamento da osteoartrite do joelho: uma revisão de literatura[∗]
Article in several languages: português |EnglishAuthors
- 1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, Brasil2 Universidade Federal Rural do Semi-Árido (UFERSA), Mossoró, RN, Brasil
Marcelo Carvalho Krause Gonçalves
1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, BrasilSouterland Thiago Correia e Sá Grando
1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, BrasilThiago Luiz de Lima Cintra
1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, BrasilDilamar Moreira Pinto
1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, BrasilRomeu Krause Gonçalves
1 Grupo de Joelho do Instituto de Traumatologia e Ortopedia Romeu Krause (ITORK), Recife, PE, Brasil
Further Information
Publication History
15 January 2018
07 May 2018
Publication Date:
27 June 2019 (online)
Resumo
A osteoartrite é uma das patologias mais frequentes e incapacitantes na atualidade, principalmente do joelho. Dentre as abordagens possíveis para osteoartrite, a neurotomia dos nervos geniculares por radiofrequência vem se destacando. Todavia, por se tratar de um procedimento relativamente novo, as indicações para realização ainda não estão bem definidas. O principal objetivo desta revisão foi identificar as principais indicações do uso da radiofrequência para o tratamento da osteoartrite do joelho na literatura médica. Foi realizada revisão da literatura em janeiro de 2018, através de pesquisa nas bases de dados PubMed, Clinicalkey e Google Scholar. Após revisão dos principais artigos no assunto, foi concluído que as principais indicações do uso da radiofrequência para o tratamento da osteoartrite do joelho foram: pacientes com osteoartrite grau 3 e 4 da classificação de Kellgren-Lawrence, com dor de moderada a severa e falha do tratamento conservador, principalmente idosos; persistência da dor, mesmo após realizado artroplastia total de joelho; pacientes com indicação de artroplastia total de joelho e que se recusam a submeter-se ao tratamento cirúrgico.
Palavras-chave
procedimentos neurocirúrgicos - ondas de rádio - rizotomia - osteoartrite do joelho - articulação do joelho∗ Trabalho realizado no Instituto de Traumatologia e Ortopedia Romeu Krause, Recife, PE, Brasil.
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