Volume 2 (2015): Issue 2

Musculoskeletal care in haemophilia: the importance of the joint team approach

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Haroon Mann
Paul McLaughlin

Abstract

Abstract

The multidisciplinary team approach to providing comprehensive care is the cornerstone of the management of musculoskeletal issues in haemophilia. At the Royal Free the team takes a holistic approach to musculoskeletal disease management that is not just about assessment of a painful knee or having an operation. It recognises that patients sit on a spectrum of musculoskeletal disease severity that is dependent on age and the type of treatments available and the issues that may have been experienced with those treatments. The patient’s own goals sit at the heart of the team’s approach.

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References

  • 1. Goddard NJ, Mann HA, Lee CA. Total knee replacement in patients with end-stage haemophilic arthropathy – 25 year results. J Bone and Joint Surg Br 2010;92(8):1085-9. doi: 10.1302/0301-620X.92B8.23922.
  • 2. Wong JM, Mann HA, Goddard NJ. Perioperative clotting factor replacement in infected total knee arthroplasty. Haemophilia 2012;18(4):607-12. doi: 10.1111/j.1365-2516.2011.02728.x.

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Authors

  • Haroon Mann

    mann.ha@nhs.net
    Royal Free Hospital and University College Medical School, London, UK

  • Paul McLaughlin

    p.mclaughlin@nhs.net
    Consultant Trauma & Orthopaedic Surgeon and Honorary Senior Lecturer, Clinical Specialist Physiotherapist in Haemophilia, Katharine Dormandy Haemophilia Centre, Royal Free Hospital, Pond St, London, UK