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Brisbane Hip Clinic
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Surgery of the HipJoint

Radiofrequency Neurotomy

Radiofrequency neurotomy (RF) is a non surgical method to assist in the management of moderate to established osteoarthritis. RF has been widely and sucessfully used in the management of spinal disorders for many years. With the more recent development of suitable probe technology, RF is now also more applicable to other joints, including the hip and knee.

 

During the conduct of RF neurotomy, a fine needle probe is placed into specific locations about the hip, where sensory nerve fibres arise from the joint. RF is conducted using both X-Ray and ultrasound guidance to ensure accurate and safe conduct of the procedure. An electric current is passed through the RF probe, that in turn heats the tissue adjacent to the needle tip, disrupting signal transmission of the sensory nerve branches from the joint. In this way, reduction of pain from the joint can be achieved for 12 months or greater. In the hip, typically the sensory branches of the femoral and obturator nerves are treated by RF. RF will not provide complete pain relief however, as other nerves (not suitable for RF therapy) also provide some sensation to the hip joint as well.

 

I recommend RF neurotomy of the hip joint is conducted in hospital under a general anaesthetic as a day procedure (go home same day). Typically the procedure will be combined with a viscosupplementation injection into the hip joint for additional symptom improvement.

 

 

Indications for radiofrequency ablation about the hip joint include

 

- Persistent symptoms from hip arthritis

 

- As part of an overall joint preserving strategy in combination with other non surgical methods

 

- Where the degree of arthritic wear is beyond that which can reliably be managed by hip arthroscopy

 

- People who are experiencing symptoms not considered severe enough to justify hip joint replacement

 

- People who are medically unfit for joint replacement

 

- Where a delay in undertaking hip replacement is desireable

 

- Some cases of residual pain after joint replacement procedures

 

- Selected other hip joint conditions

 

 

 

Link to Halyard Coolief RF Hip site

 

 

Link to MyCoolief Patient Information site

 

 

This information has been provided by A/Prof Patrick Weinrauch for the purposes of patient education. The details provided are of general nature only and do not substitute for professional recommendations based on an individual clinical assessment. © A/Prof Patrick Weinrauch. Brisbane Hip Clinic.