Joint Surgery in the Adult Patient with Hemophilia

1. Front Matter

   Pages i-viii

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2. Musculoskeletal Manifestations of Hemophilia

   • E. Carlos Rodríguez-Merchán, Hortensia De la Corte-García

   Pages 1-12

3. Hematological Concepts and Hematological Perioperative Treatment

   • Víctor Jiménez-Yuste, E. Carlos Rodríguez-Merchán, María Teresa Álvarez-Román, Mónica Martín-Salces

   Pages 13-19

4. Hemophilic Hemarthroses: Diagnosis and Management

   • E. Carlos Rodríguez-Merchán, Hortensia De la Corte-Rodríguez

   Pages 21-27

5. Imaging of the Hemophilic Joints

   • Carmen Martín-Hervás

   Pages 29-36

6. Shoulder Surgery in Hemophilia

   • Elena Casado-Sanz, Raúl Barco-Laakso, Samuel Antuña, E. Carlos Rodríguez-Merchán

   Pages 37-42

7. Surgery of the Elbow in Hemophilia

   • Raúl Barco-Laakso, Samuel Antuña, E. Carlos Rodríguez-Merchán

   Pages 43-50

8. Hip Surgery in Hemophilia

   • Eduardo García-Rey, Eduardo García-Cimbrelo

   Pages 51-56

9. Knee Surgery in Hemophilia

   • E. Carlos Rodríguez-Merchán, Primitivo Gómez-Cardero, Ángel Martínez-Lloreda

   Pages 57-65

10. Advanced Hemophilic Arthropathy of the Ankle: Total Ankle Replacement or Ankle Fusion?

    • E. Carlos Rodríguez-Merchán, Primitivo Gómez-Cardero, Hortensia De la Corte-Rodríguez

    Pages 67-74

11. Articular Pseudotumors and Bone Cysts in the Adult Hemophilic Patient

    • Manuel Peleteiro-Pensado, Eduardo J. Ortiz-Cruz

    Pages 75-82

12. Orthopedic Surgery in Hemophilia: Is Thromboprophylaxis Necessary?

    • E. Carlos Rodríguez-Merchán, Hortensia De la Corte-García

    Pages 83-87

13. Rehabilitation of Joint Surgery in Hemophiliacs

    • Hortensia De la Corte-Rodríguez, E. Carlos Rodríguez-Merchán, Hortensia De la Corte-García

    Pages 89-99

14. The Analgesic Efficacy of a COX-2 Inhibitor (Oral Celecoxib) in Adult Hemophilic Patients and Intense Joint Pain Secondary to Advanced Hemophilic Arthropathy

    • E. Carlos Rodríguez-Merchán, Hortensia De la Corte-Rodríguez, Víctor Jiménez-Yuste

    Pages 101-104

15. Anesthesia in Orthopedic Surgery of the Adult Hemophilia Patient

    • Rogelio Rosado-Caracena, Carlos Baeza-Gil

    Pages 105-110

16. Pharmacoeconomics of Orthopedic Surgery in Hemophilia

    • José Antonio Romero-Garrido, E. Carlos Rodríguez-Merchán

    Pages 111-118

17. Back Matter

    Pages 119-126

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This book provides clear instruction on the surgical treatment of joint problems in adult hemophilia patients. The procedures applicable to specific joints, including the shoulder, elbow, hip, knee and ankle, are carefully reviewed with the aid of high-quality illustrations. The surgical treatment of articular hemophilic pseudotumors and bone cysts is also considered. In addition, clinically relevant information is provided on a range of topics, such as the treatment of hemophilic hemarthrosis, the imaging of hemophilic joints, hematological perioperative management, anesthesia, rehabilitation and pharmacoeconomics. Finally, the controversial issues of postoperative thromboembolic prophylaxis and the role of COX-2 inhibitors in hemophiliacs are reviewed. The guidance provided draws on both the authors’ extensive personal experience and an in-depth review of the pertinent literature. The book offers an excellent, up-to-date account of knowledge on musculoskeletal problems and approaches to joint surgery in adults with hemophilia. It will be of value to orthopedic surgeons, rehabilitation physicians, hematologists, radiologists and pharmacy researchers.

• Elbow surgery
• Hemophilia
• Hemophilic arthropathy
• Hip surgery
• Knee surgery
• Shoulder surgery
• rehabilitation psychology

• "La Paz" University Hospital-IdiPaz, Madrid, Spain

  E. Carlos Rodríguez-Merchán

E. Carlos Rodriguez-Merchan gained his MD from Complutense University, Madrid, Spain in 1974 and later obtained a PhD from the same university. In 1978 Dr. Rodriguez-Merchan joined La Paz University Hospital, Madrid and since 1992 he has been a consultant orthopaedic surgeon in the hospital’s Service of Orthopaedic Surgery and Traumatology as well as Chief of the Knee Unit. In 2005 he was also appointed Associate Professor of Orthopaedics at the School of Medicine, Autonomous University, Madrid. Over the past two decades Dr. Rodriguez-Merchan has been particularly dedicated to adult reconstruction of the lower limb and above all to hip and knee arthroplasties. He is also a Consultant of the Haemophilia Centre, at La Paz University Hospital, Madrid, Spain. The Haemophilia Centre has been recognised by the World Federation of Haemophilia, as an International Haemophilia Training Centre. Since 2002 he has been Deputy Editor of Clinical Orthopaedics and Related Research, representing the Spanish Society of Orthopaedics and Traumatology and from 2003 to 2009 he was Editor-in-Chief of Revista Española de Cirugía Ortopédica y Traumatología. He has also been a member of the editorial board of the journal Haemophilia since 1995. Dr. Rodriguez-Merchan has previously published five books in English as well as six in Spanish, and is the author of more than 120 articles in journals indexed in PubMed.

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