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- Robert D Menzies and Jeffery K Hawkins.
- JPS Orthopedics and Sports Medicine, JPS Health System, Arlington, TX, U.S.A.
- Pain Pract. 2015 Jul 1; 15 (6): E54-8.
AbstractTotal knee replacement (TKR) is a terminal therapy for osteoarthritis (OA) of the knee. While TKR results are generally satisfactory, a significant proportion of patients experience persistent pain lasting > 3 months following surgery, even after a technically acceptable operation. Knee pain of any kind post-TKR has been reported in up to 53% of patients, while 15% of patients have reported severe pain. Pain post-TKR is worse than preoperative pain in 7%, often resulting in surgical revision. The clinical experience of a patient that originally presented to an orthopedic surgeon with OA of both knees demonstrates an alternative relatively noninvasive pain management strategy: cooled radiofrequency (CRF) ablation of sensory nerves.© 2015 World Institute of Pain.
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