Cover Page

Cite item


Objective - to compare the effectiveness of radiofrequency denervation (RFD) and conservative treatment of patients with hip degenerative diseases. Material and methods. 66 patients with various stages of hip degeneration were followed up for 12 months, including 36 patients who underwent RFD and 30 patients of control group with conservative treatment. Treatment results were assessed using Visual Analogue Scale (VAS) and Harris Hip Score before treatment, during the first day, 2 days later, as well as at 1, 6 and 12 months. Results: RFD patients demonstrated significantly better results compared with conservative group. Patients with coxarthrosis stage I and II, besides higher efficiency had prolonged period of remission, while patients with coxarthrosis stage III returned to the near-baseline level of pain only in 3-6 months. Conclusions: RFD is an effective treatment modality for patients with initial coxarthrosis stages, which helps to reduce significantly the disability period compared with conservative therapy. RFD is the only method of effective hip pain relieve in patients with severe comorbidities allowing to reduce analgesic consumption. This method is minimally invasive, has low cost, permits repeated procedures, making it attractive for both physicians and patients.

About the authors

G. I. Nazarenko

Medical Center of the Central Bank of the Russian Federation

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

A. M. Cherkashov

Medical Center of the Central Bank of the Russian Federation

Email: cherkam@yandex.ru
Russian Federation

V. I. Kuz'min

Medical Center of the Central Bank of the Russian Federation

Email: kuzmin.medcenter@mail.ru
Russian Federation

T. G. Sharamko

Medical Center of the Central Bank of the Russian Federation

Email: sharamko_t@mail.ru
Russian Federation

M. A. Gorokhov

Medical Center of the Central Bank of the Russian Federation

Email: mishgan62@rambler.ru
Russian Federation


  1. Акатов О.В., Древаль О.Н., Гринев А.В. Чрескожная радиочастотная деструкция запирательного нерва при коксартрозе. Вестник травматологии и ортопедии им. Н.Н. Приорова. 1997; (4):21-23
  2. Волокитина Е.А. Коксартроз и его оперативное лече ние. [Автореф. дис. ... д-ра мед. наук]. Курган; 2003. 46 с
  3. Назаренко Г.И., Епифанов В.А., Героева И.Б. Коксартроз. М.: Медицина; 2005. 144 с
  4. Bozic. K., Rubash H. Pain in the total hip area. Clin. Orthop. 2004;420:18-25.
  5. Fukui S., Nosaka S. Successful relief of hip joint pain by percutaneous radiofrequency nerve thermocoagulation in a patient with contraindications for hip arthroplasty. Journal of Anasthesia, 2001;15:173-175.
  6. Huo M. What's new in hip arthroplasty. J. Bone Joint Surg. 2002;(84):1894-1905.
  7. Khan N.Q. Referral patterns of hip pain in patients undergoing total hip replacement. Orthopedics. 1998;21:123-126.
  8. Lavernia C., D'Apuzzo M., Hernandez V., Lee D. Thigh pain in primary total hip arthroplasty. J. Arthroplasty. 2004;19:1208-1211.
  9. Malik A., Simopolous T., Elkersh M. et al. Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of nonoperable hip pain. Pain Physician. 2003;6(4):499-502.
  10. Rivera F., Mariconda C., Annaratone G. Percutaneous radiofrequency denervation in patients with contraindications for total hip arthroplasty. Orthopedics. 2012; 35:302-305

Copyright (c) 2014

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies