Is there a need to modify the anatomical targets for genicular nerve ablation in prosthetic knees compared with native knees? A cadaveric study

Prosthetic knees share comparable genicular nerve anatomic locations with native knees but exhibit smaller nerve diameters and fibrosis of the IPBSN. The absence of a nearby arterial branch to the SLGN may reduce ultrasound targeting accuracy. Anatomical differences alone, however, do not fully explain the diminished pain relief observed after radiofrequency ablation.

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Publication Details

Journal
Regional Anesthesia & Pain Medicine
Published
2026-01-22
DOI
https://doi.org/10.1136/rapm-2025-107379
Primary Topic
Total Knee Arthroplasty Outcomes
Type
article
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article

Is there a need to modify the anatomical targets for genicular nerve ablation in prosthetic knees compared with native knees? A cadaveric study

Catherine Behets, Loïc Fonkoué, Fodjeu Gaspary, Cedric Dongmo Mayopa et al.
Regional Anesthesia & Pain Medicine
Total Knee Arthroplasty Outcomes
article

Is there a need to modify the anatomical targets for genicular nerve ablation in prosthetic knees compared with native knees? A cadaveric study

Catherine Behets, Loïc Fonkoué, Fodjeu Gaspary, Cedric Dongmo Mayopa, Olivier Cornu, Julie Manon
article en

Abstract

Prosthetic knees share comparable genicular nerve anatomic locations with native knees but exhibit smaller nerve diameters and fibrosis of the IPBSN. The absence of a nearby arterial branch to the SLGN may reduce ultrasound targeting accuracy. Anatomical differences alone, however, do not fully explain the diminished pain relief observed after radiofrequency ablation.

Regional Anesthesia & Pain Medicine
Cliniques Universitaires Saint-Luc (BE), UCLouvain (BE)
Openalex Percentile: Top 81%
Total Knee Arthroplasty Outcomes
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