Deciding whether to start the Elective Orthopaedic Surgery (EOS) journey

Journey guide

EOS journey guide

During the initial surgical discussion, patients may struggle to picture what their surgical journey will look like, and what the steps may be. The 'EOS journey guide' can be given to your patients to help them become more informed. 

This downloadable brochure will help your patients understand what to expect from the EOS journey:



The patient planning tool

The optimal timing of EOS during the lifetime of a person with haemophilia is a matter of debate. While advanced procedures, particularly joint replacement, may be more appropriate for patients who have completed growth, there are arguments in favour of surgery in younger patients: younger people can benefit from interventions earlier in life and are more easily rehabilitated.1

Assessing whether a patient is eligible for surgery involves an MDT approach and assessment of the level of arthropathy. Following the initial conversation, you may determine that the patient could be a candidate for EOS.  

The 'planning tool' can be used by the specialist nurse during a pre-surgery appointment and then handed to the patient.

The patient planning tool is a downloadable brochure which focuses on key information about their surgery. It includes an additional discussion guide for assessment of readiness for surgery (for the patient to complete) and a pain management plan (which the patient should complete alongside their physiotherapist).

Who is this material for?

Nurse will discuss and then hand to the patient

When should it be used?

Appointment to discuss considerations before and after surgery


1. Escobar MA, et al. Haemophilia 2018;24:693–702. 



Deciding on EOS

Before you and your patient make the decision to go ahead with EOS, it is important that they understand all of the facts. 

With that in mind we have developed the 'patient counselling tool', to help guide a discussion around the potential benefits and risks of surgery and any concerns that your patient may have. This material has been designed for use in conjunction with the MDT (physician, surgeon, and specialist nurse). 

Who is this material for?


When should it be used?

Follow-up with patients who are considering surgery

Related pages


EOS, elective orthopaedic surgery; MDT, multidisciplinary team;  rFVIIa, recombinant activated factor seven. 

The materials within this toolkit are for educational and informative purposes only. The materials are not intended to replace any advice or information provided by a haemophilia specialist and/or other healthcare professionals. Surgery in patients with haemophilia (with or without inhibitors) can carry specific risks that should be carefully assessed and discussed with patients. Surgery in patients with haemophilia (with or without inhibitors) should always be done in consultation with a specialised haemophilia treatment centre.1


1. Ingerslev J, Hvid I.  Semin Hematol 2006;43:S23–6.