Minimally invasive treatment of osteoarthritis of the hip joint by radiofrequency denervation: a clinical case

Abstract

Background. At present, there is an increasing trend towards the spread of osteoarthritis among the population of Russia and the world, and therefore the search for an effective and low-traumatic method of stopping pain syndrome of directional exposure in coxarthrosis is an urgent and important problem of modern medicine.
 Clinical Case Description. A clinical case of treatment of a 64-year-old patient, a working pensioner, with complaints of severe pain in the left hip joint and a clinical picture of stage IV coxarthrosis according to the Kellgren and Lawrence classification, is presented at the Multidisciplinary medical Center of the Bank of Russia. Previously, the patient was given indications for planned joint arthroplasty due to the ineffectiveness of conservative treatment courses. The pain syndrome on the visual analogue scale (VAS) was 9 points, according to the Harris Hip Score 32 points (unsatisfactory result). In connection with the development of an acute concomitant disease, radiofrequency denervation (RFD) of the left hip joint was performed with discharge the next day and a positive outcome in the form of a decrease in pain for a long period. VAS: 1st day - 3 points, 1 month - 2 points, 6 months - 6 points, 12 months - 7 points, as well as according to the "Harris Hip Score": 1 month after the test 82 points (good result), after 6 months 76 points (satisfactory result)
 Conclusion. As this clinical case showed, RFD is an alternative for patients with osteoarthritis of the hip joint who are contraindicated in total arthroplasty, and conservative treatment does not give long-term positive results in severe pain.