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A new multicentre trial to evaluate a minimally invasive treatment for patients with knee osteoarthritis could transform the way knee osteoarthritis is managed, potentially improving quality of life for patients long before surgery becomes necessary.

A knee

Knee osteoarthritis affects millions worldwide, yet for many people there remains a treatment gap — a stage where symptoms persist despite physiotherapy, medication, or injections, but joint replacement is not yet appropriate.

A major new clinical trial, known as GEKO (Genicular Artery Embolisation for Knee Osteoarthritis), has officially launched at NDORMS. The study explores a new approach called genicular artery embolisation (GAE), a procedure that targets abnormal blood vessels around the knee to reduce inflammation and pain.

The GEKO trial will recruit around 216 participants across several UK sites, comparing the outcomes of those receiving the embolisation procedure with a control group. Researchers will assess pain, function, and imaging outcomes to better understand how the treatment works and who might benefit most.

Funded by the National Institute for Health and Care Research (NIHR) the first patient has already been consented. If successful, GAE could represent a major shift in the management of knee osteoarthritis — offering a minimally invasive procedure that helps patients manage pain and improve their quality of life.

Read the full story on BJS Academy: Closing the treatment gap in knee osteoarthritis — the GEKO trial begins (BJS Academy)

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