Turkiye Klinikleri Journal of Anesthesiology Reanimation

.: ORIGINAL RESEARCH
İntraartiküler Steroid Tedavisine Pulse Radyofrekans Eklemenin Koksartroz Yönetimindeki Etkinliği: Retrospektif Çalışma
The Effectiveness of Adding Pulse Radiofrequency to Intra-Articular Steroid Therapy in the Management of Coxarthrosis: A Retrospective Study
Yılmaz KARADUMANa , Arzu MUZa , Yusuf Harun İRENb , Suna AKIN TAKMAZa
aAnkara Eğitim ve Araştırma Hastanesi Anesteziyoloji ve Reanimasyon Kliniği, Ankara, Türkiye
bAnkara Eğitim ve Araştırma Hastanesi Nöroloji Kliniği, Ankara, Türkiye
Turkiye Klinikleri J Anest Reanim. 2025;23(1):1-8
doi: 10.5336/anesthe.2025-108995
Article Language: TR
Full Text
ÖZET
 Amaç: Kalça osteoartriti (koksartroz) bulunan ve medikal tedavilere dirençli hastalarda, yalnızca kortikosteroid enjeksiyonu yapılanlar ile kortikosteroid enjeksiyonuna ek olarak kalça eklem içine pulse radyofrekans tedavisi (PRF) uygulanan hastaların klinik sonuçları karşılaştırılarak, PRF uygulamasının tedavi etkinliğini artırıp artırmadığı incelenmiştir. Gereç ve Yöntemler: Retrospektif olarak planlanan bu çalışmada, kliniğimizde tedavi gören ve Kellgren-Lawrence sınıflamasına göre osteoartrit evresi≥2 olan 53 hasta değerlendirildi. Hastalar, yalnızca kortikosteroid tedavisi (grup S, 40 mg triamsinolon asetonid) alanlar ve kortikosteroide ek olarak PRF tedavisi uygulananlar (Grup RS) olmak üzere iki gruba ayrıldı. Tedavi sonrası 1. hafta, 1. ay, 3. ay ve 6. aydaki hasta takiplerinde, hastaların görsel analog skala [Visual Analog Skala (VAS)] skorları, Harris Kalça Skoru (HKS) ve analjezik tüketimindeki değişim kaydedildi ve gruplar karşılaştırıldı. Bulgular: Her iki tedavi yönteminde farklı osteoartrit evrelerinde VAS ve HKS skorlarında anlamlı iyileşmeler olduğu gözlenmiştir (p<0.05). Ancak, tedavi sonrası zaman dilimlerinde 2 grup arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. Analjezik tüketiminde de benzer sonuçlar elde edilmiştir. Gruplar arasında analjezik ihtiyacında anlamlı bir fark bulunmamıştır. Sonuç: Eklem içine yalnızca kortikosteroid uygulaması ve kortikosteroid tedavisine ek olarak uygulanan PRF tedavisi, koksartroz kaynaklı ağrı yönetiminde etkili bir kombinasyon olabilir ancak PRF'nin kortikosteroid tedavisine eklenmesinin, tek başına kortikosteroid tedavisine göre üstün bir fayda sağlamadığı gözlemlenmiştir.

Anahtar Kelimeler: Kalça eklemi; koksartroz; osteoartrit; pulse radyofrekans
ABSTRACT
 Objective: In patients with hip osteoarthritis (coxarthrosis) who are resistant to medical treatments, the clinical outcomes of those who received only corticosteroid injections were compared with those who received corticosteroid injections combined with intra-articular pulse radiofrequency therapy (PRF) to investigate whether the addition of PRF enhances treatment efficacy. Material and Methods: In this retrospectively designed study, 53 patients treated at our clinic with osteoarthritis stages ≥2 according to the Kellgren-Lawrence classification were evaluated. The patients were divided into two groups: those who received only corticosteroid treatment (Group S, 40 mg triamcinolone acetonide) and those who received corticosteroid treatment combined with PRF therapy (Group RS). During follow-ups at 1 week, 1 month, 3 months, and 6 months post-treatment, changes in the patients' Visual Analog Scale (VAS) scores, Harris Hip Scores (HKS), and analgesic consumption were recorded, and the groups were compared. Results: Significant improvements in VAS and HKS scores were observed in both treatment groups across different osteoarthritis stages (p<0.05). However, no statistically significant difference was found between the 2 groups during the post-treatment follow-up periods. Similar results were observed in analgesic consumption, with no significant difference in analgesic requirements between the groups. Conclusion: Both intra-articular corticosteroid injection alone and corticosteroid therapy combined with PRF may be effective combinations for managing pain due to coxarthrosis. However, the addition of PRF to corticosteroid therapy did not provide superior benefits compared to corticosteroid therapy alone.

Keywords: Hip joint; coxarthrosis; osteoarthritis; pulse radiofrequency
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