Advances in Interventional Radiology Technology for the Treatment of Knee Osteoarthritis

Dennis Parhar; Ravjot Dhatt; Shao-Hsien Liu; Alexandra Slater; Lulu Liu; Najibullah Khan; Maziar Badii; Bassam Masri; David M Liu

doi:10.1016/j.ocl.2024.04.005

Advances in Interventional Radiology Technology for the Treatment of Knee Osteoarthritis

Orthop Clin North Am. 2024 Oct;55(4):435-443. doi: 10.1016/j.ocl.2024.04.005. Epub 2024 May 30.

Authors

Dennis Parhar¹, Ravjot Dhatt², Shao-Hsien Liu³, Alexandra Slater², Lulu Liu⁴, Najibullah Khan⁵, Maziar Badii⁶, Bassam Masri⁷, David M Liu⁸

Affiliations

¹ Division of Interventional Radiology, Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Radiology, Diamond Health Care Centre, 11th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada. Electronic address: [email protected].
² Division of Interventional Radiology, Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Radiology, Diamond Health Care Centre, 11th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada.
³ Division of Epidemiology, Department of Population and Quantitative Health Sciences, UMass Chan Medical School, 368 Plantation Street, AS8-1086, Worcester, MA 01605, USA.
⁴ Vancouver Imaging, 450-943 West Broadway, Vancouver, British Columbia V5Z 4E1, Canada.
⁵ BC Centre for Disease Control, 655 West 12th Avenue, Vancouver, British Columbia V5Z 4R4, Canada.
⁶ Division of Rheumatology, Department of Medicine, University of British Columbia, Diamond Health Care Centre, 10th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada; Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.
⁷ Department of Orthopaedics, University of British Columbia, Diamond Health Care Centre, 11th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada.
⁸ Division of Interventional Radiology, Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Radiology, Diamond Health Care Centre, 11th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada; School of Biomedical Engineering, University of British Columbia, Vancouver, British Columbia, Canada.

PMID: 39216948
DOI: 10.1016/j.ocl.2024.04.005

Abstract

Minimally invasive interventional radiology procedures play an adjunctive role in treating the symptoms of osteoarthritis (OA) with the hopes of delaying total knee arthroplasty (TKA). However, currently available intra-articular injections offer only short-term benefits. This has led to evolution of new techniques such as genicular artery embolization and genicular nerve ablation, which show benefit in pain control and quality of life, especially for mild-to-moderate OA, positioning these techniques as potential alternatives to intra-articular injections to help delay TKA.

Keywords: Ablation; Embolization; Genicular; Interventional; Knee; Neuromodulation; Osteoarthritis; Radiofrequency.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Knee / methods
Embolization, Therapeutic / methods
Humans
Injections, Intra-Articular
Osteoarthritis, Knee* / surgery
Osteoarthritis, Knee* / therapy
Radiology, Interventional / methods