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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e888-e894
DOI: 10.1055/s-0044-1792117
Artigo Original
Joelho

Bloqueio farmacológico dos nervos geniculares no tratamento da osteoartrite de joelho

Article in several languages: português | English
Bruno Paulo Marques da Fonseca 
1   Departamento de Ortopedia, Hospital e Maternidade Metropolitano, São Paulo, SP, Brasil
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
,
Gilberto Yoshinobu Nakama 
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
,
Guilherme Loterio Marques 
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
,
Guilherme Ferrari de Araujo 
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
,
Fernanda Martinho Soares 
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
,
Alan Motta do Canto 
2   Departamento de Ortopedia e Cirurgia do Joelho, Instituto Prevent Senior, São Paulo, SP, Brasil
› Author Affiliations Suporte Financeiro Os autores declaram que não receberam suporte financeiros de agências dos setores público, privado ou sem fins lucrativos para a realização deste estudo.
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Resumo

Objetivo Avaliar os resultados clínicos e funcionais do bloqueio farmacológico dos nervos geniculares como modalidade no arsenal terapêutico da osteoartrite de joelho, uma vez que é simples, seguro e minimamente invasivo.

Métodos Foi realizado o bloqueio farmacológico dos nervos geniculares de 20 pacientes com osteoartrite de joelho de graus 3 e 4 segundo a classificação de Kellgren-Lawrence, e foram avaliadas as respostas clínica e funcional no primeiro, terceiro e sexto meses após o procedimento.

Resultados Dos 20 pacientes estudados e submetidos ao procedimento, 16 (80%) tiveram uma resposta excelente até o retorno ambulatorial do primeiro mês, isto é, foram de um nível de dor de 8/9 para 2/3; 2 deles tiveram uma resposta parcial e outros 2 não responderam ao tratamento.

Conclusão O bloqueio farmacológico dos nervos geniculares é eficiente na diminuição da dor e na melhora do desempenho dos pacientes nas atividades diárias, principalmente até o terceiro mês após o procedimento.

Palavras-chave

bloqueio nervoso - dor - osteoartrite do joelho

Trabalho desenvolvido no Hospital e Maternidade Metropolitano, São Paulo, SP, Brasil.




Publication History

Received: 05 March 2023

Accepted: 15 August 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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