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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.
List of contents
1 Musculoskeletal manifestations of hemophilia.- 2 Hematological concepts and hematological perioperative treatment.- 3 Hemophilic hemarthroses: diagnosis and management.- 4 Imaging of the hemophilic joints.- 5 Shoulder surgery in hemophilia.- 6 Elbow surgery in hemophilia.- 7 Hip surgery in hemophilia.- 8 Knee surgery in hemophilia.- 9 Advanced hemophilic arthropathy of the ankle: total ankle replacement or ankle fusion?.- 10 Articular pseudotumors and bone cysts in the adult hemophilic patient.- 11 Orthopedic surgery in hemophilia: Is thromboprophylaxis necessary?.- 12 Rehabilitation after joint surgery in hemophiliacs.- 13 The analgesic efficacy of a COX-2 inhibitor (oral celecoxib) in adult hemophilic patients and intense joint pain secondary to advanced hemophilic arthropathy.- 14 Anesthesia in orthopaedic surgery of adult hemophilic patients.- 15 Pharmacoeconomics of orthopaedic surgery in hemophilia.
About the author
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.
Summary
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.
