E C Rodriguez-Merchan

Summary

Affiliation: La Paz University Hospital
Country: Spain

Publications

  1. ncbi request reprint The haemophilic pseudotumour
    E C Rodriguez-Merchan
    Consultant Orthopaedic Surgeon, Haemophilia Centre and Service of Traumatology and Orthopaedics, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:12-6. 2002
  2. doi request reprint Orthopedic management in hemophilia: a Spanish outlook
    E Carlos Rodriguez-Merchan
    Consultant Orthopedic Surgeon, Department of Orthopedics and Hemophilia Unit, La Paz University Hospital, and Associate Professor of Orthopedics, Autonoma University, Madrid, Spain
    Semin Hematol 45:S58-63. 2008
  3. ncbi request reprint Elective orthopaedic surgery for inhibitor patients
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, and Haemophilic Center, La Paz University Hospital, Madrid, Spain
    Haemophilia 9:625-31. 2003
  4. ncbi request reprint Orthopaedic surgery for inhibitor patients: a series of 27 procedures (25 patients)
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, 28029 Madrid, Spain
    Haemophilia 13:613-9. 2007
  5. ncbi request reprint Literature review of surgery management in inhibitor patients
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedics, and Haemophilia Centre La Paz University Hospital, Madrid, Spain
    Haemophilia 10:22-9. 2004
  6. ncbi request reprint Consensus perspectives on surgery in haemophilia patients with inhibitors: summary statement
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
    Haemophilia 10:50-2. 2004
  7. doi request reprint Prevention of haemophilic arthropathy during childhood. May common orthopaedic management be extrapolated from patients without inhibitors to patients with inhibitors?
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 14:68-81. 2008
  8. doi request reprint Orthopaedic surgery in haemophilia patients with inhibitors as the last resort
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, La Paz Univerisity Hospital, Madrid, Spain
    Haemophilia 14:56-67. 2008
  9. ncbi request reprint HIV and HCV coinfected haemophilia patients: what are the best options of orthopaedic treatment?
    E C Rodriguez-Merchan
    Service of Orthopaedics and Traumatology and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 12:90-101. 2006
  10. ncbi request reprint Total knee replacement in haemophilic arthropathy
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain
    J Bone Joint Surg Br 89:186-8. 2007

Detail Information

Publications51

  1. ncbi request reprint The haemophilic pseudotumour
    E C Rodriguez-Merchan
    Consultant Orthopaedic Surgeon, Haemophilia Centre and Service of Traumatology and Orthopaedics, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:12-6. 2002
    ..Surgical excision is the treatment of choice but should only be carried out in major haemophilia centres by a multidisciplinary surgical team...
  2. doi request reprint Orthopedic management in hemophilia: a Spanish outlook
    E Carlos Rodriguez-Merchan
    Consultant Orthopedic Surgeon, Department of Orthopedics and Hemophilia Unit, La Paz University Hospital, and Associate Professor of Orthopedics, Autonoma University, Madrid, Spain
    Semin Hematol 45:S58-63. 2008
    ....
  3. ncbi request reprint Elective orthopaedic surgery for inhibitor patients
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, and Haemophilic Center, La Paz University Hospital, Madrid, Spain
    Haemophilia 9:625-31. 2003
    ..Thorough analysis of each case as part of a multidisciplinary team will allow us to perform elective orthopaedic procedures in patients with inhibitors...
  4. ncbi request reprint Orthopaedic surgery for inhibitor patients: a series of 27 procedures (25 patients)
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, 28029 Madrid, Spain
    Haemophilia 13:613-9. 2007
    ..In other words, orthopaedic surgery is now possible in haemophilia patients with high-titre inhibitors, leading to an improved quality of life for these patients...
  5. ncbi request reprint Literature review of surgery management in inhibitor patients
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedics, and Haemophilia Centre La Paz University Hospital, Madrid, Spain
    Haemophilia 10:22-9. 2004
    ..In addition, such studies should be done with an adequate protocol, providing sufficient haematological data and an appropriate prolonged postoperative assessment...
  6. ncbi request reprint Consensus perspectives on surgery in haemophilia patients with inhibitors: summary statement
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
    Haemophilia 10:50-2. 2004
    ..They also suggested the need of a prospective evaluation in the future. Finally, the approximate number of surgical procedures and costs performed on haemophilia patients with inhibitors were analysed...
  7. doi request reprint Prevention of haemophilic arthropathy during childhood. May common orthopaedic management be extrapolated from patients without inhibitors to patients with inhibitors?
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 14:68-81. 2008
    ..Programmes for haemophilic children without inhibitors can be applied to children with inhibitors but should be individually tailored...
  8. doi request reprint Orthopaedic surgery in haemophilia patients with inhibitors as the last resort
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, La Paz Univerisity Hospital, Madrid, Spain
    Haemophilia 14:56-67. 2008
    ..Until this goal can be achieved, major and minor orthopaedic procedures will be necessary in patients with inhibitors more frequently than in patients without inhibitors...
  9. ncbi request reprint HIV and HCV coinfected haemophilia patients: what are the best options of orthopaedic treatment?
    E C Rodriguez-Merchan
    Service of Orthopaedics and Traumatology and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 12:90-101. 2006
    ..The size of the needle should be small (size G-27), and we never use spinal catheters...
  10. ncbi request reprint Total knee replacement in haemophilic arthropathy
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain
    J Bone Joint Surg Br 89:186-8. 2007
    ..Our rate of infection was lower than previously reported. This could be due to better control of the HIV status with highly active anti-retroviral therapy and the use of antibiotic-loaded cement...
  11. ncbi request reprint Haemophilic synovitis: basic concepts
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 13:1-3. 2007
    ..In this article, the author reviews some current basic principles on the prevention and treatment of haemophilic synovitis to avoid further development of joint destruction (haemophilic arthropathy)...
  12. ncbi request reprint Radioactive synoviorthesis for the treatment of haemophilic synovitis
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 13:32-7. 2007
    ....
  13. ncbi request reprint Prophylaxis and treatment of chronic synovitis in haemophilia patients with inhibitors
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 13:45-8. 2007
    ..With both methods (prohylaxis and radioactive synoviorthesis), we can delay the development of severe haemophilic arthropathy, that eventually will require major orthopaedic surgery...
  14. ncbi request reprint Total joint arthroplasty: the final solution for knee and hip when synovitis could not be controlled
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 13:49-58. 2007
    ....
  15. doi request reprint Prevention of haemophilic arthropathy in haemophilic children with inhibitors
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 14:1-3. 2008
    ..In this paper, we have tried to find an answer to the question of which bypassing agents (rFVIIa or APCC) could be used in children and adults...
  16. doi request reprint Some recent developments regarding arthropathy and inhibitors in haemophilia
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 14:242-7. 2008
    ....
  17. doi request reprint Ankle surgery in haemophilia with special emphasis on arthroscopic debridement
    E C Rodriguez-Merchan
    Department of Orthopaedics, La Paz University Hospital, Madrid, Spain
    Haemophilia 14:913-9. 2008
    ..Orthopaedic procedures are not very frequent in the haemophilic ankle, because the majority of problems can be solved satisfactorily by conservative means (radiosynoviorthesis and PTB orthosis)...
  18. ncbi request reprint Haemophilic arthropathy in haemophilia patients with inhibitors: new perspectives
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 9:547-8. 2003
  19. ncbi request reprint [Surgical principles in haemophilia patients]
    E Carlos Rodriguez-Merchan
    Hemophilia Center, La Paz University Hospital, Madrid, Spain
    Unfallchirurg 106:264-71. 2003
    ..However,some others are still to be solved. The common aim of all of them is to improve the quality of life of persons with hemophilia...
  20. ncbi request reprint General principles and indications of synoviorthesis (medical synovectomy) in haemophilia
    E C Rodriguez-Merchan
    Service of Orthopaedics and Traumatology, and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 7:6-10. 2001
    ..Several joints can be injected in a single session, although no more than two joints at the same time is probably the best protocol to follow...
  21. ncbi request reprint The technique of synoviorthesis
    E C Rodriguez-Merchan
    Service of Orthopaedics and Traumatology and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 7:11-5. 2001
    ..Very young children may require either sedation or a general anaesthetic. Strict asepsis is naturally a paramount requirement...
  22. ncbi request reprint Yttrium-90 synoviorthesis for chronic haemophilic synovitis: Madrid experience
    E C Rodriguez-Merchan
    Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 7:34-5. 2001
    ..90Y synoviorthesis should be performed in very young patients, when the amount of synovium is still moderate. Once the degree of synovitis has become severe, the expected results of radioactive synoviorthesis are worse...
  23. ncbi request reprint The haemophilic ankle
    E C Rodriguez-Merchan
    La Paz University Hospital, Madrid, Spain
    Haemophilia 12:337-44. 2006
    ..Primary prophylaxis and radioactive synoviorthesis are the best ways that we have today of protecting against haemophilic synovitis and arthropathy of the ankle joint...
  24. ncbi request reprint Orthopaedic surgery of haemophilia in the 21st century: an overview
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:360-8. 2002
    ..In addition, they have a high risk of postoperative infection after any surgical procedure, particularly a joint arthroplasty...
  25. ncbi request reprint Total knee arthroplasty in HIV-positive haemophilic patients
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedics, and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:387-92. 2002
    ..If TKA is contraindicated, knee arthrodesis is the alternative. However, knee joint debridement can relieve pain for several years and delay the need for TKA...
  26. ncbi request reprint Management of musculoskeletal complications of hemophilia
    E Carlos Rodriguez-Merchan
    Service of Traumatology, La Paz University Hospital, Madrid, Spain
    Semin Thromb Hemost 29:87-96. 2003
    ..The potential benefits of joint replacement must always be weighed against the long-term sequelae, however, especially loosening and consequent revision surgery...
  27. ncbi request reprint Haemophilic cysts (pseudotumours)
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery, and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:393-401. 2002
    ..Untreated, proximal pseudotumours will ultimately destroy soft tissues, erode bone, and may produce neurovascular complications...
  28. ncbi request reprint Orthopaedic surgery in persons with haemophilia
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedics, La Paz University Hospital, Madrid, Spain
    Thromb Haemost 89:34-42. 2003
    ....
  29. ncbi request reprint Orthopaedic assessment in haemophilia
    E C Rodriguez-Merchan
    Consultant Orthopaedic Surgeon, Haemophilia Centre, and Service of Traumatology and Orthopaedics, La Paz University Hospital, Madrid, Spain
    Haemophilia 9:65-74; discussion 74. 2003
    ..Re-examining patients' responses postoperatively could provide a way to assess fulfilment of expectations, which is a crucial patient-derived measure of outcome and satisfaction...
  30. ncbi request reprint Radionuclide synovectomy (radiosynoviorthesis) in hemophilia: a very efficient and single procedure
    E Carlos Rodriguez-Merchan
    Service of Traumatology, La Paz University Hospital, Madrid, Spain
    Semin Thromb Hemost 29:97-100. 2003
    ....
  31. doi request reprint What patient, joint and isotope characteristics influence the response to radiosynovectomy in patients with haemophilia?
    H De la Corte-Rodriguez
    Department of Rehabilitation and Physical Therapy, La Paz University Hospital, Madrid, Spain
    Haemophilia 17:e990-8. 2011
    ....
  32. doi request reprint Surgery in haemophilia patients with inhibitors, with special emphasis on orthopaedics: Madrid experience
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
    Haemophilia 16:84-8. 2010
    ..In other words, surgery (orthopaedic and non-orthopaedic) is now possible in haemophilia patients with inhibitors, leading to an improved quality of life for these patients...
  33. doi request reprint Experiences in the prevention of arthropathy in haemophila patients with inhibitors
    V Jimenez-Yuste
    Hematology Department, Autonoma University, Madrid, Spain
    Haemophilia 14:28-35. 2008
    ..In this setting, aPCC is not recommended as a first-line prophylaxis because of its potential to protract anamnesis, and rFVIIa is the preferred agent...
  34. doi request reprint Aspects of current management: orthopaedic surgery in haemophilia
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, La Paz University Hospital, Madrid and Autónoma University, Madrid, Spain
    Haemophilia 18:8-16. 2012
    ..However, it could be a good adjunct therapy, mainly when a surgical field potentially will bleed more than expected (i.e. patients with inhibitors), and also in some orthopaedic procedures (mainly the surgical removal of pseudotumours)...
  35. doi request reprint Joint protection in haemophilia
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain and School of Medicine, Autonomous University, Madrid, Spain
    Haemophilia 17:1-23. 2011
    ....
  36. doi request reprint Radiosynovectomy in hemophilia: quantification of its effectiveness through the assessment of 10 articular parameters
    H De la Corte-Rodriguez
    Department of Rehabilitation and Physical Therapy, La Paz University Hospital, Madrid, Spain
    J Thromb Haemost 9:928-35. 2011
    ..Radiosynovectomy (RS) can reduce the number of hemarthroses in chronic hemophilic synovitis. The purpose of this study was to quantitatively assess the effectiveness of RS in terms of the objective improvement of ten articular parameters...
  37. doi request reprint The role of selective angiographic embolization of the musculo-skeletal system in haemophilia
    E C Rodriguez-Merchan
    Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital and University Autónoma, Madrid, Spain
    Haemophilia 15:864-8. 2009
    ..It is important to bear in mind that despite its efficacy, arterial embolization is an invasive procedure with a reported rate of complications up to 25% (16% minor, 7% serious, 2% death)...
  38. doi request reprint Controversies and challenges in elective orthopedic surgery in patients with hemophilia and inhibitors
    Victor Jimenez-Yuste
    Department of Hematology, Autonoma University, Madrid, Spain
    Semin Hematol 45:S64-7. 2008
    ..Although inhibitor patients undergoing surgery face a higher risk of bleeding and other complications than their non-inhibitor counterparts, outcomes are generally good if a multidisciplinary team approach is applied...
  39. doi request reprint Surgical wound healing in bleeding disorders
    E C Rodriguez-Merchan
    Department of Orthopaedic Surgery, La Paz University Hospital and School of Medicine, Autonomous University, Madrid, Spain
    Haemophilia 18:487-90. 2012
    ..However, many treaters would regard this recommendation at odds with (i.e. more aggressive than) current standards. Unfortunately no additional clinical evidence for this recommendation can be provided...
  40. ncbi request reprint Methods to treat chronic haemophilic synovitis
    E C Rodriguez-Merchan
    La Paz University Hospital, Madrid, Spain
    Haemophilia 7:1-5. 2001
    ....
  41. ncbi request reprint Historical and political implications of haemophilia in the Spanish royal family
    C Ojeda-Thies
    Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 9:153-6. 2003
    ..We feel great compassion for families who suffer the illness, be it ordinary people or members of royalty; however, in this case, it can be said that when the disease affected a royal couple, the political consequences were great...
  42. doi request reprint Cartilage restoration in haemophilia: advanced therapies
    A Liras
    Department of Physiology, Biology School, Complutense University, Madrid, Spain
    Haemophilia 18:672-9. 2012
    ..However, we still have a long way to go for use in haemophilic arthropathy...
  43. doi request reprint The role of ultrasonography in the diagnosis of the musculo-skeletal problems of haemophilia
    F Querol
    Department of Physiotherapy, Valencia University and La Fe Hospital, Valencia, Spain
    Haemophilia 18:e215-26. 2012
    ..It is particularly important in acute haemarthrosis, as it can be used to objectively identify the presence of blood in the joints, measure its size, pinpoint its location, assess its evolution and confirm its complete disappearance...
  44. doi request reprint Delayed union of a fracture of the middle third of the clavicle presenting with a late subclavian pseudoaneurysm
    E C Rodriguez-Merchan
    Department of Orthopaedics, La Paz University Hospital, Paseo de la Castellana 261, Madrid, Spain
    Musculoskelet Surg 94:89-92. 2010
    ..Four days after arteriography, the delayed union was treated by excision of the necrotic skin and internal fixation with a plate and screws. After 1 year of follow-up, the outcome was clinically and radiologically satisfactory...
  45. pmc Reproducibility of patellofemoral CT scan measurements
    A D Delgado-Martinez
    Service of Traumatology and Orthopaedic Surgery, Hospital Princesa de España, University of Jaen, Spain
    Int Orthop 24:5-8. 2000
    ..We suggest that parameters for measuring lateral patellar tilt only should be used from CT scanning when planning treatment for patello-femoral malalignment...
  46. ncbi request reprint Bone fractures in the haemophilic patient
    E C Rodriguez-Merchan
    Service of Traumatology and Orthopaedic Surgery and Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Haemophilia 8:104-11. 2002
    ..If a fracture is correctly treated in a haemophilic patient, it will progress to consolidation in a similar time-frame to fractures occurring in the general population...
  47. ncbi request reprint Hemophilic arthropathy
    James V Luck
    Orthopaedics Hemophilia Treatment Center, Orthopaedic Hospital, Los Angeles, CA 90007, USA
    J Am Acad Orthop Surg 12:234-45. 2004
    ..Despite the medical and surgical complexities of hemophilic arthropathy, orthopaedic procedures have a high incidence of patient satisfaction...
  48. ncbi request reprint Hemophilia orthopedic management with emphasis on developing countries
    E Carlos Rodriguez-Merchan
    Haemophilia Centre, La Paz University Hospital, Madrid, Spain
    Semin Thromb Hemost 31:518-26. 2005
    ..Once this has occurred, treatment modalities such as alignment osteotomies, joint debridement, arthrodesis, and arthroplasties are possible. Should surgery be required, one should consider multiple procedures...
  49. ncbi request reprint Elective orthopedic surgery for hemophilia patients with inhibitors: New opportunities
    E Carlos Rodriguez-Merchan
    Service of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
    Semin Hematol 41:109-16. 2004
    ..Thorough analysis of each case as part of a multidisciplinary team will help to identify further inhibitor patients in whom EOS can be performed both safely and effectively...
  50. doi request reprint Introduction: Proceedings from the 9th Novo Nordisk Symposium on Haemostasis Management
    E Carlos Rodriguez-Merchan
    Semin Hematol 45:S1-2. 2008
  51. ncbi request reprint Total knee arthroplasty in patients with haemophilia who are HIV-positive
    E Carlos Rodriguez-Merchan
    Haemophilia Centre, La Paz University Hospital, Capitan Blanco Argibay, Madrid, Spain
    J Bone Joint Surg Br 84:170-2. 2002