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Joint Action

December 2008

Keeping People Mobile

BOA CELEBRATES ITS 90th BIRTHDAY HAPPY 90th BIRTHDAY BOA! The BOA was established by Sir Robert Jones (1857-1933) in 1918 and his life story makes interesting reading. As with all men, the career of Robert Jones was the result of a combination of circumstances and personal qualities which had never occurred before and never will again. Robert Jones was born in Rhyl, North Wales on 28th June 1857. When he was 5 years old his father gave up a lucrative career as an architect and moved to London to become a journalist, consequently the family became quite poor. Robert was educated at Sydenham College, and aged 16 left London aided by an uncle, Hugh Owen Thomas, who persuaded him to get a medical education. Uncle Hugh was an eccentric genius, but an exceptionally well trained and successful orthopaedist in Liverpool, the son of a celebrated bone-setter. After his graduation in medicine, young Jones practised with his uncle for a time and then set out for himself. Robert Jones became committed to improving orthopaedic care and fostering the specialisation of orthopaedics, and with great foresight, he helped found the British Orthopaedic Association (BOA). His position as director of orthopaedics in the military meant that from then on, all orthopaedists were helped by him through this new association.

its purpose as working for the benefit of patients by continuing the advance of science and practice of Trauma and Orthopaedic Surgery that Jones had started. In fact, the BOA has been so successful in this role that at present, 40% of all surgeons in the UK work in Trauma and Orthopaedics. Sir Robert Jones died on 14th January in 1933 at the age of 76 in Bodynfoel, near Llanfechain, the home of his daughter in Wales. ‘In view of the great services rendered by him to humanity at large,’ his ashes were laid to rest in Liverpool Cathedral by 1935, England had 40 hospitals with a total of 6000 orthopaedic beds and 400 orthopaedic clinics.

Today, with over 4,300 members, the association still sees

In December 2008, the BOA held a reception to mark its 90th anniversary and celebrate the foresight of Sir Robert Jones. Please will you join with us by making your own birthday gift to help fund the next 90 years of the British Orthopaedic Association. You can do this by using the response coupon enclosed with this newsletter and returning it to us in the envelope provided.


My Joint Account is a key area of the new website that allows you to interact with Joint Action and other members. Members will be able to update and add to their personal details. Members of Joint Action will be able to apply for an Orthocard. An Orthocard holder can apply for a replacement card, or cancel their Orthocard or Joint Account membership. They will also be able to opt out of recieving fundraising or marketing based communications. People who have donated can see when and what they have donated. Also, if donations have been identified as being associated with a particular appeal or research activity then, this will be highlighted. From now on, donors will be able to see the history of their donations and the impact they are making in Orthopaedic research in the UK.

As a previous supporter you have access to your own private area of the new website, known as “My Joint Account”

Additionally, there are links to the latest news, appeals and events pages. For more details of all the facilities the new website has to offer, log on to



A new inovation to help ease your travel after an implant The British Ort This is the Joint Action Membership Card that offers people with implants numerous benefits.


Keeping Pe Reg. Charity

Or th op ae

di c Im pl an

ople Mobil No. 106699






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• Peace of mind and ease of transit at Security Checkpoints • Helps reduce embarrassment if the alarm goes off • Evidence and verification of a replacement joint • Gives important information to medics in the case of an accident • Provides vital information for Dentists and Doctors to help prevent the serious risk of infection

Team BOA: The 2009 Flora London Marathon


As a fundraising event, there is no marathon in the world

Feel the difference

that comes close to the Flora London Marathon.

With the Walking the way to Health group, you can help speed recovery from orthopaedic intervention and improve general fitness.

Joint Action is again proud to take part in the this year’s marathon on Sunday 26th April 2009, to help raise the much needed sponsorship monies to fund Orthopaedic Research in the UK. We would like to take this opportunity to introduce you to the team which is made up of runners from across all walks of life and in all parts of our country.


Mr Mark Bowditch, from Woodbridge, Suffolk

Walking can...

Mr Adam Brooks, from Swindon

Make you feel good

Mr Aroonkumar Chouhan, from Walsall

Give you more energy

Ms Becky Hall, from the Journal of Bone and Joint Surgery (London)

Reduce stress and help you sleep better Keep your heart ‘strong’ and reduce blood pressure Help to manage your weight Tone muscles after joint implants

Why is walking the perfect activity for health? Almost everyone can do it You can do it anywhere and any time It’s a chance to make new friends

Mrs Jane Leslie, from Easter Compton, Bristol Ms Reena Minhas, from Ilford Mr James R Barnes, from Bristol Mr Andrew Sprowson, from Newcastle Mr Andrew Terry, from Bury St Edmunds Mr Alex Trompeter, from Guildford Each member of the team has agreed, graciously, to raise a minimum of £1,000 , so anything you can do to help them

It’s free and you don’t need special equipment

on their way would be greatly appreciated. If you wish to

You can start slowly and build up gently

donate online to any of their causes, please visit and follow the instructions

To find out more, and how you can partake in organised walks with Natural England, tick the appropriate box on the enclosed response form.

provided or complete the relevant part of the enclosed response coupon, naming your favoured runner if you wish.

RESEARCH PROJECTS UPDATE Where our funds are spent? Joint Action relies entirely on voluntary contributions to fund our work. This very nature of our funding, leads us to take the responsibility of investing the donations we receive very seriously indeed. Our primary focus is to raise and distribute the funds that improve patient care and the treatment of diseases of, and injuries to, the musculoskeletal system by funding high quality research in the UK. We are the only UK charity that specialises in supporting and raising funds for all areas of Orthopaedic research. We believe we are uniquely placed to ensure that the maximum impact is made of every donation received by being underpinned by The British Orthopaedic Association, who represent more than 4,300 UK orthopaedic surgeons and researchers and who form the pool of professionals that we draw the world leaders from to stand on our Research and Grants Committees. Our Research Committee, following extensive discussions with affiliated bodies such as the British Orthopaedic Research Society, The American Academy of Orthopaedic Surgeons, The British Geriatrics Society, The International Society for Fracture Repair, The National Osteoporosis Society and The International Osteoporosis Foundation alongside other relevant bodies have developed and published a Research Agenda in July 2005. Copies can be viewed or requested from Research topics covering... 1. Arthritis and Arthroplasty 2. Soft Tissue Injuries 3. Major Limb Trauma 4. Osteoporosis and Fragility Fractures 5. Spinal Disorders 6. Paediatric Orthopaedics This agenda maps out the direction for orthopaedic research both nationally and internationally. By focusing on certain priority areas of need, The British Orthopaedic Association, through its fundraising function, Joint Action is able to achieve maximum potential from its research grants for the benefit of orthopaedic patients throughout the country. Within this Agenda, our Grants Committee then takes part in an annual review of the many research applications we receive. We then undertake an independent peer review to ensure that we only fund the highest quality projects that

will most effectively drive forward the medical advances to make the most impact on ordinary people’s lives. Y ou can read about three examples of our research below, or visit our website at to learn about other areas we fund. You can also register your interest to be kept informed about the latest developments in these projects as they occur by opening your very own Joint Account.

Outcome with gait analysis of limb reconstruction for severe forms of fibular hemimelia Simon Thomas, Nuffield Orthopaedic Centre, Oxford £5,000 Fibular hemimelia is a birth defect in which there is partial or complete absence of the fibular bone together with a variable amount of lower limb shortening, knee and ankle instability and often longitudinal loss of foot bones. It is the commonest deficiency of long bones, affecting about 1 in 25,000 live births. For children with severe involvement, amputation of the foot and prosthesis fitting is often recommended to equalise limb lengths, facilitate walking and minimise time spent in hospital as a child. This study investigated the use of an external frame to lengthen the involved bones, stabilize and reconstruct affected joints and avoid lower limb amputation. Outcomes were assessed into adulthood with limb specific and general health status questionnaires and 3D gait analysis. The results confirmed that children treated with this reconstructive surgery had good functional outcomes and generally good quality of life. They walked more slowly than a comparable group of amputees but with a similar degree of efficiency when looking specifically at energy consumption. These results are of fundamental importance for orthopaedic surgeons worldwide when treating children with this severe birth defect. They add objective data to the argument over limb reconstruction versus amputation and prosthetic use.

Driving Time After Shoulder Surgery Andrew Wallace, Imperial College, London £22,000 Going back to driving is often the most frequent question asked after any surgery, particularly shoulder surgery, and, is often directly related to the livelihood of the patients. Driving is considered an essential skill to acquire and maintain throughout life. It needs complicated coordination skills involving various sensory and motor skills. Whilst past studies have investigated mental, visual and auditory components of driving, no research has been done on the upper limb, especially the shoulder joint involvement in driving.

The essential components of driving involve turning steering wheels, changing gears in manual cars and application of the hand brake. Little is known about the role of the shoulder in these movements and how orthopaedic problems affect movement, and how patients can be assessed to see if they can safely return to driving. This project is investigating when a patient can safely resume driving after four common types of shoulder surgery.

New Minimally Invasive Orthopaedic Surgery for Children with Cerebral Palsy Tim Theologis, Nuffield Orthopaedic Centre, Oxford £61,000 Cerebral palsy is the most common serious physical disability in childhood. Children with diplegic type of cerebral palsy, mainly affecting both legs, often experience significant walking difficulties. These difficulties usually deteriorate over time due to the development of joint deformities and increasing height and weight. Both the deformities and walking difficulties can be greatly improved with orthopaedic surgery, which involves lengthening several muscles and realignment of bones, at the same time (multi-level surgery) and very prolonged rehabilitation time. It is important that surgical techniques and post-operative rehabilitation need to improve further to preserve and improve muscle strength and motor function. In this study, Mr Theologis and his team in Oxford, plan to combine new strength preserving surgical techniques which allow earlier mobilisation, with resistance strength training at an earlier stage post-operatively, to provide a ‘strength preserving programme’ for children with cerebral palsy. He anticipates that this new minimally invasive or ‘keyhole’ technique of multilevel surgery, combined with intensive post-operative strengthening, will lead to a faster and more optimal recovery time from surgery for children with cerebral palsy, their families and carers. This would be a significant advance on present practice.


neighbours, John Charnley would have been able to witness at firsthand, the positive effect that his surgery had on restoring her quality of life. Unfortunately a subsequent elbow break in her 80’s again required orthopaedic surgery, but she kept on going to the last. Before her death, Mrs. Dorothy Latta made arrangements for a generous legacy to be left to orthopaedic research in order to enable current and future generations to receive practical benefit from the underfunded area of limb prosthesis. Following extensive peer review, Joint Action’s Grants Committee identified a worthy recipient of The Latta Fellowship to a total of £400,000 from Dorothy’s estate, in Mr Eleftherios Tsiridis a Consultant Orthopaedic Surgeon from Leeds General Infirmary. Mr Tsiridis (or Teri as he is fondly known) has designed a five year study that brings together multi-disciplinary specialists Professor Z. Jin, Dr R. Wilcox and Dr A. Jones from the department of Bioengineering at Leeds University to optimise the treatment of fractures in the femurs following hip replacement surgery. These fractures in the femur (thigh bone) are a relatively common complication that occurs during or after hip replacement surgery. The fixation of such fractures is technically difficult, and it is important that the treatment is optimum to ensure that the fracture heals and further damage does not occur. This study will use computer models to compare the many different treatment methods that are currently used. The computer models will allow the research team to examine the loading (weight put through the bone) and movement in the fracture for each different method. This Latta Fellowship is expected to culminate in providing valuable information that will have a direct benefit to orthopaedic patients requiring surgery for hip fracture. This work would not have been possible without the foresight and generosity of Mrs. Dorothy Latta, for which we, and future generations of orthopaedic patients, can be very grateful. If you wish to discuss ways that you could also make a lasting impact on an underfunded area of research, perhaps in memory of a loved-one, then please contact Julia Smith at Joint Action, in the strictest confidence, on 020 7405 6507.

Joint Action appeal is raising funds to improve patient care and the t: 0114The280 3200

We are delighted and honoured to announce Joint Action’s largest ever orthopaedic research Fellowship, The Latta Fellowship, which has been made possible by the vision of a remarkable woman called Mrs. Dorothy Latta. Mrs. Dorothy Latta passed away 2nd April 2006 at the grand old age of 93 following a very active and full life. She benefited from one of the first Charnley hip replacements in the late 1960’s and as one of his next-door

treatment of diseases of, and injuries to, the musculoskeletal system by funding high quality research in the UK, as outlined in our Research Agenda. If you wish to be a part of this research by helping to fund it, please complete the relevant sections of the response coupon.

Keeping People Mobile

British Orthopedic Association

Joint Action News - December 2008  

This newsletter focuses on the British Orthopaedic Association's 90th birthday, the Orthocard, our 2009 London Marathon runners, our Walk Mo...

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