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Scientific paper - Original scientific paper
Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis
Acta clinica Croatica, 62. (2023), Supplement 4; 34-39. https://doi.org/10.20471/acc.2023.62.s4.5
Orlić Karbić, Vlasta; Šustić, Alan

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Orlić Karbić, V. & Šustić, A. (2023). Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis. Acta clinica Croatica, 62.. (Supplement 4), 34-39. doi: 10.20471/acc.2023.62.s4.5

Orlić Karbić, Vlasta and Alan Šustić. "Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis." Acta clinica Croatica, vol. 62., no. Supplement 4, 2023, pp. 34-39. https://doi.org/10.20471/acc.2023.62.s4.5

Orlić Karbić, Vlasta and Alan Šustić. "Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis." Acta clinica Croatica 62., no. Supplement 4 (2023): 34-39. https://doi.org/10.20471/acc.2023.62.s4.5

Orlić Karbić, V. and Šustić, A. (2023) 'Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis', Acta clinica Croatica, 62.(Supplement 4), pp. 34-39. doi: 10.20471/acc.2023.62.s4.5

Orlić Karbić V, Šustić A. Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis. Acta clinica Croatica [Internet]. 2023 [cited 2024 December 26];62.(Supplement 4):34-39. doi: 10.20471/acc.2023.62.s4.5

V. Orlić Karbić and A. Šustić, "Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis", Acta clinica Croatica, vol. 62., no. Supplement 4, pp. 34-39, 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:925105. [Accessed: 26 December 2024]

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Metadata
Title (english)Therapeutic Genicular Nerve Block for Chronic Pain Management in Patients with Knee Osteoarthritis
Title (croatian)Terapeutski blok genikularnog živca za liječenje kronične boli kod pacijenata s osteoartritisom koljena
AuthorVlasta Orlić Karbić
AuthorAlan Šustić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract (english)
Background: Therapeutic genicular nerve block (TGNB) is both an effective and safe treatment procedure for pain related to chronic osteoarthritis of the knee (OA). It is most common amongst the elderly. It is characterized by joint stiffness, pain and disability. Aim: The aim of this study was to examine the analgesic and functional impact of ultrasound-guided TGNB in patients with chronic knee OA and to evaluate the efficacy of local anesthetics and corticosteroids. Patients and methods: The study included 20 patients. Pain was assessed according to the numerical pain scale (NRS), and improvement of the functional capacity was assessed according to the WOMAC Index (Western Ontario and McMaster Universities Osteoarthritis Index). SLGN, SMGN and IMGN were identified, and 3 mL of a mixture of local anesthetic (ropivacaine 0.75%) and corticosteroid (triamcinolone 40 mg) were applied to each nerve. Results: The average NRS value before TGNB was 5.1, and the WOMAC score was 58.55. After the TGNB was performed, NRS was 2.4 (47% decrease in pain intensity) and WOMAC was 30.1 (51% decrease in the intensity of ailment). Conclusion: TGNB is effective and not harmful in treating pain and enhances the functional capacity in patients with knee OA. The clinical benefits of corticosteroid administration suggest that it may be an appropriate adjuvant in TGNB for knee OA.
Abstract (croatian)
Terapijski genikularni blok (TGNB) siguran je i učinkovit terapijski postupak u liječenju kronične boli povezane s osteoartritisom (OA) koljena. Uobičajeno OA koljena pogađa osobe starije životne dobi, a karakterizira ga bol, otok i ukočenost zahvaćenog zgloba. Cilj je prikazati učinkovitost TGNB pod kontrolom ultrazvuka, i sigurnu primjenu kombinacije lokalnog anestetika i kortikosteroida u liječenju bolesnika sa kroničnom boli uslijed OA koljena procjenom analgetskog učinka i poboljšanja funkcijske sposobnosti ispitanika Ispitanici i metode Prikazom je obuhvaćeno 20 bolesnika. Intenzitet boli je procijenjen koristeći numeričku skalu boli (NRS), a funkcijski kapacitet primjenom WOMAC indeksa (Western Ontario and Mc Master Universities Osteoarthritis Index). Pri izvođenju TGNB ultrazvukom se prikažu SLGN, SMGN i IMGN, i na svaki aplicira 3 ml mješavine lokalnog anestetika (ropivacain 0,75%) i kortikosteroida (triamcetan 40 mg). Rezultati Prosječna vrijednost NRS prije izvođenja TGB iznosila je 5,1, a vrijednost WOMAC scora 58,55. Nakon učinjenog TRG prosječna je vrijednost NRS bila 2,4 (47% smanjenje intenziteta boli), a WOMAC scora 30,1 (51% smanjenje intenziteta tegoba). Zaključak Ultrazvučno vođena TGNB je sigurna, učinkovita i lako primjenjiva metoda u liječenju kronične boli i poboljšanju funkcijskog kapaciteta u bolesnika s OA koljena. Štoviše, primjena kortikosteroida sugerira kako su prikladan adjuvans lokalnom anestetiku pri izvođenju TGNB.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 62., no. Supplement 4, pp. 34-39
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2023.62.s4.5
URN:NBNurn:nbn:hr:184:925105
Publication2023
Document URLhttps://hrcak.srce.hr/315814
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2024-05-02 13:01:31