Unipolar vs Bipolar Radiofrequency Ablation for Knee Osteoarthritis Pain
Official title: Unipolar Versus Bipolar Radiofrequency Ablation in Knee Osteoarthritis Pain: A Randomized Single-Blinded Trial
Run by Tanta University · NCT07789340 · Data updated 2026-11-12
This study tests whether unipolar or bipolar radiofrequency ablation provides better pain relief for adults over 50 with knee osteoarthritis who have not responded to other treatments.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 64 (estimated) |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia) |
| Status | Recruiting |
| Started | August 29, 2026 |
| Main results expected | June 1, 2027 |
| Study ends | June 1, 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07789340 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 50 with chronic knee OA pain (Kellgren-Lawrence II-IV) who have not responded to standard treatments and have a positive diagnostic genicular block.
✕Probably not a fit
Patients with recent knee infection, active inflammatory disease, prior knee surgery, or contraindications to nerve ablation may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two radiofrequency ablation techniques, unipolar and bipolar, to relieve chronic knee pain due to osteoarthritis. A diagnostic genicular nerve block is used to select participants likely to benefit, followed by nerve ablation using one of the two methods. Eligible participants are adults over 50 with radiographically confirmed knee OA (Kellgren-Lawrence II-IV) and persistent pain despite prior therapies. The study is conducted at Tanta University in Egypt with a lead sponsor and no listed collaborators. Outcomes focus on pain relief and function after the procedure, assessing whether the bipolar approach offers advantages over the unipolar approach.
Why it matters
Potential benefit: If successful, patients may experience greater and longer-lasting pain relief from knee OA with one ablation technique over the other.
How similar studies have gone: Prior data on genicular nerve RFA shows potential for pain reduction, but direct comparisons of unipolar versus bipolar approaches are limited, making this study relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \> 50 years. * Both genders. * Diagnosed with chronic knee osteoarthritis (KOA) according to the American College of Rheumatology (ACR) criteria and confirmed with plain radiography as the gold standard for the diagnosis of KOA. * One chronic KOA pain not responding to other treatments as physiotherapy, oral analgesics, and intraarticular injection with hyaluronic acids or steroids. * Kellgren-Lawrence grade (II-IV). Exclusion Criteria: * Chronic knee pain induced by infection, inflammation, tumors, and fractures. * Prior knee surgery. * Acute knee pain. * Connective tissue diseases. * Neurologic or psychiatric disorders. * Intra-articular knee corticosteroid or hyaluronic acids in the past 3 months. * Anticoagulant medication. * Local infection of the site of intervention. * Cognitive impairment.
Where it's running
-
Tanta University
Tanta, El-Gharbia, Egypt Recruiting
Study contacts
- Study coordinator: Mohammed S Elsharkawy, MD
- Email: mselsharkawy@med.tanta.edu.eg
- Phone: 00201148207870
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.