Clinical Study on the Treatment of Knee Osteoarthritis with Ultrasound Guided Hidden Nerve Pulse Radiofrequency Combined with Needle Knife
Objective:To observe the clinical efficacy of ultrasound-guided pulsed radiofrequency combined with needle knife therapy for knee osteoarthritis(KOA).Methods:75 KOA patients admitted to the hospital were se-lected as the research subjects and randomly divided into three groups according to the random number table meth-od,namely Group A,Group B,and Group C,with 25 patients in each group.Group A underwent ultrasound-guided pulsed radiofrequency surgery for the hidden nerve,Group B underwent needle knife treatment,and Group C underwent ultrasound-guided pulsed radiofrequency combined with needle knife treatment for the hidden nerve.Compare the pain,knee joint function,knee joint range of motion,adverse reactions,and clinical efficacy between two groups.Results:After treatment,the VAS and WOMAC scores of the three groups decreased,and the VAS and WOMAC scores of Group C were lower than those of Group A and Group B(P<0.05).There was no statistically significant difference in VAS scores and WOMAC scores between group A and group B after treat-ment(P>0.05).On postoperative days 7,14,and 30,the joint range of motion in group C was higher than that in groups A and B(P<0.05).On postoperative days 7,14,and 30,there was no significant difference in joint range of motion between group A and group B(P>0.05).There was no statistically significant difference in the incidence of adverse reactions among the three groups(P>0.05).The overall effective rate of treatment in Group C was higher than that in Group A and Group B(P<0.05).There was no statistically significant differ-ence in the total effective rate between group A and group B(P>0.05).Conclusion:The combination of ultra-sound-guided pulsed radiofrequency and needle knife therapy for knee osteoarthritis is more effective in relieving knee joint pain,improving knee joint mobility,promoting knee joint function improvement,and has a higher safety profile.
pulse RFneedle knife treatmentknee osteoarthritisknee joint function