NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status Awaiting development
Technology type Procedure
Decision Selected
Reason for decision Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Process IP
ID number 1914
Description This procedure is typically performed in 2 stages. Both stages are performed under fluoroscopic or ultrasound guidance. First, to assess suitability for radiofrequency denervation, patients are given a diagnostic block by injection of a local anaesthetic to the genicular nerves. If the diagnostic block provides pain relief, the patient is a candidate for radiofrequency denervation. A probe is introduced to the treatment site. Radiofrequency energy is used to denervate the target genicular nerves. The energy can be delivered as conventional radiofrequency (CRF), cooled radiofrequency (cooled RF), or pulsed radiofrequency (PRF). The aim is to reduce pain, improve joint function, and delay knee arthroplasty.

Provisional Schedule

IPAC 1 10 November 2022
Interventional procedure consultation 01 February 2023 - 01 March 2023
IPAC 2 13 April 2023
Expected publication 29 June 2023

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Timeline

Key events during the development of the guidance:

Date Update
04 May 2022 Awaiting development. Status change linked to Topic Selection Decision being set to Selected

For further information on how we develop interventional procedures guidance, please see our IP manual