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Selective denervation of the knee: experience, case reports, and technical notes

M Y Nahabedian1, M A Mont, D S Hungerford

  • 1Division of Plastic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

The American Journal of Knee Surgery
|September 5, 1998
PubMed
Summary

Selective denervation offers a viable treatment option for chronic knee pain caused by neuromas. This surgical technique demonstrated positive outcomes in a majority of patients, providing pain relief.

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Neurology

Background:

  • Chronic knee pain can significantly impair quality of life.
  • Neuromas, often resulting from surgery or trauma, are a common cause of persistent knee pain.
  • Current treatment options may not provide adequate relief for all patients.

Observation:

  • This study evaluated the efficacy of selective denervation for treating knee pain stemming from neuromas.
  • The procedure involves targeted surgical interruption of nerve pathways contributing to pain.
  • Case reports illustrate the surgical technique and patient selection criteria.

Findings:

  • Of 13 patients who underwent selective denervation, 23% reported excellent outcomes and 54% reported good outcomes.
  • No patients experienced worsening of their condition post-procedure.

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  • A total of 77% of patients achieved good to excellent results.

    • Implications:

    • Selective denervation presents a promising surgical option for select patients with intractable neuropathic knee pain.
    • This minimally invasive technique may offer a valuable alternative to conservative management.
    • Further research can explore long-term efficacy and patient selection optimization.