J Haem Pract 2015; 2(2):17-19. doi: 10.17225/jhp00054

Authors: Paul McLaughlin, Haroon Mann

Paul McLaughlin
Clinical Specialist Physiotherapist in Haemophilia
Katharine Dormandy Haemophilia Centre, Ground floor, Royal Free Hospital, Pond Street, London, NW3 2QG, UK. Email:

Haroon Mann
Consultant Trauma & Orthopaedic Surgeon and Honorary Senior Lecturer
Royal Free Hospital, Pond St, London NW3 2QG, UK. Email: University College Medical School, Gower St, London WC1E 6BT, UK.


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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  1. Goddard NJ, Mann HA, Lee CA. Total knee replacement in patients with endstage 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.

The Journal of Haemophilia Practice is published by Haemnet.

Haemnet is a registered charity that brings together and gives a voice to haemophilia nurses, physiotherapists and allied health care professionals, providing forums for collaborative research, educational activities and support.