The main focus for this newsletter is Paediatric Orthopaedics and how Orthopaedic Research can Keep People Mobile. Cover Story - Danielle Bradshaw (11 year old makes a life-changing decision to remove her lower leg)
news Keeping People Mobile October 2010 Joint Action by Lauren Bickles 11 year old makes a life-changing decision to remove her lower leg www.jointaction.org.uk Joint Action News October 2010 Speaking with Danielle Bradshaw over the telephone you would assume that you’re having a conversation with an average 11 year old girl. She was incredibly chirpy (perhaps because she was on her way home from school) and had a very sweet demeanour. However, Danielle was born with developmental dysplasia of both hips and her right knee was dislocated, so she was not living the life a normal 11 year old girl usually leads. She has had to make a very important decision about the way she wants to live the rest of her life, by amputating her lower right leg. Lauren Bickles: You’re 11 now; how did you feel when you were younger having your condition? Danielle Bradshaw: It was really difficult. I wanted to be able to run around and play with my friends. LB: How hard was it to convince your mum and step-dad that you wanted the surgery? DB: My mum was watching her favourite programme one night and in the break I told her. She talked it over with my step-dad and they were against it at first but then they decided it was a good idea as I wanted it so much. LB: Now you’ve had this operation, what do you want to do now? DB: My ambition is to run for my country in the Paralympics. I’ve been to PACE in Cheadle [they make prosthetics] to be measured and weighed and for a new running blade like Oscar Pistorius [South African paralympic champion “fastest thing on no legs”]. I have been told I have perfect balance as I have been using a training leg ‘til I get my new one. LB: Who or what has inspired you? DB: The soldiers in Afghanistan have inspired me. They have had new legs and have gone back to the front-line to fight for their country. They’re very brave. After my conversation with Danielle I spoke to her step-dad, Darren Quigley: “Danielle’s school have been very supportive and raised £3,000 for a sports wheelchair. Sheffield Children’s Hospital has been brilliant. Danielle is more mobile now than before she had the operation. We went on a caravan holiday to Blackpool shortly after Danielle’s operation. She rode a donkey 6 days after her operation and also won a 3-legged race with her mum!” Danielle added, “Even though I have perfect balance, I get my brother to do the washing up…while I still can!!”
Transcript
newsKeeping People Mobile October 2010
Joint Action
by Lauren Bickles
11 year old makes a life-changing decision to remove her lower leg
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News September 2010
BritishOrthopaedicAssociationKeeping People Mobile
Speaking with Danielle Bradshaw over the telephone you would assume that you’re having a conversation with an average 11 year old girl. She was incredibly chirpy (perhaps because she was on her way home from school) and had a very sweet demeanour. However, Danielle was born with developmental dysplasia of both hips and her right knee was dislocated, so she was not living the life a normal 11 year old girl usually leads. She has had to make a very important decision about the way she wants to live the rest of her life, by amputating her lower right leg.
Lauren Bickles: You’re 11 now; how did you feel when you were younger having your condition?
Danielle Bradshaw: It was really difficult. I wanted to be able to run around and play with my friends.
LB: How hard was it to convince your mum and
step-dad that you wanted the surgery?
DB: My mum was watching her favourite programme one night and in the break I told her. She talked it over with my step-dad and they were against it at first but then they decided it was a good idea as I wanted it so much.
LB: Now you’ve had this operation, what do you want to do now?
DB: My ambition is to run for my country in the Paralympics. I’ve been to PACE in Cheadle [they make prosthetics] to be measured and weighed and for a new running blade like Oscar Pistorius [South African paralympic champion “fastest thing on no legs”]. I have been told I have perfect balance as I have been using a training leg ‘til I get my new one.
LB: Who or what has inspired you?
DB: The soldiers in Afghanistan have inspired me. They have had new legs and have gone back to the front-line to fight for their country. They’re very brave.
After my conversation with Danielle I spoke to her step-dad, Darren Quigley:
“Danielle’s school have been very supportive and raised £3,000 for a sports wheelchair. She�eld Children’s Hospital has been brilliant. Danielle is more mobile now than before she had the operation. We went on a caravan holiday to Blackpool shortly after Danielle’s operation. She rode a donkey 6 days after her operation and also won a 3-legged race with her mum!”
Danielle added, “Even though I have perfect balance, I get my brother to do the washing up…while I still can!!”
7.5% of your total order purchase will go towards Trauma & Orthopaedic Research
Also available to purchase: Candles - Diaries (2011) - Filofax Organisers - Gift Bags / Gift Wrap - Leather Gifts - Notebooks / Journals - Pens - Soft Toys - Sweets
Last recommended day for ordering gifts/cards: Saturday 11th December 2010
Last recommended day for Christmas posting: 1st Class = Tuesday 21st December 2010
2nd Class = Saturday 18th December 2010
P P O R
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z3 25 2 22
O R O P E R RE E
If you can work out the phrase within the Cryptogram you could win a limited edition, personalised First Day Cover of the Royal Mail Medical Breakthroughs Stamp Collection (released 16/9/10) which includes the “Hip Replacement 60p stamp”. You will also receive a presentation pack of the stamps. 9 runners up will receive just the presentation pack.
Decipher the phrase below. Each number represents a letter of the alphabet. Not every letter of the alphabet is used in this puzzle. Once completed, send us the list of letters with their allocated numbers (e.g. A=1, B=2) and the complete phrase. 4 letters have been given to you already. It’s up to you to work out the remaining letters. CLUE – there are only 8 additional letters to �nd.
Joint Action Prize Cryptogram
To enter the competition - send your name, address, phone number and the answer to:
JA Newsletter Sept'10_Outer.pdf 08/10/2010 15:16:00
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010 Joint Action News October 2010www.jointaction.org.uk
My next port of call was Danielle’s surgeon,Mr Stan Jones, to �nd out about the condition itself.
LB: How common is developmental dysplasia of the hips and knees in newborns?
SJ: The combination of the hip and the knee is not very common at all – it’s very rare. I don’t know the exact numbers but it’s definitely 1 in a few thousand. On their own you would see the hip more often than the knee.
LB: How does it occur?
SJ: It’s just one of those things – completely random. Studies have shown it’s more common in girls than boys; a genetic link would be unusual but it could be possible.
LB: What’s the best practice of helping children who have this condition?
SJ: Once it’s recognised then it should be treated as soon as possible to enable the child to have a better way of life. Sometimes it can go unrecognised. It is better for the child if it’s recognised as a baby. It is
often misdiagnosed. Because Danielle had both the hips and the knee, it was easier to recognise.
LB: Was Danielle’s request to remove her own leg unusual?
SJ: It was very unusual. So much so, I asked the advice of colleagues and told Danielle to ask the advice of the prosthetics people. I also put her in touch with other families in a similar situation. After all of the advice she was still adamant.
LB: What resulted from Danielle’s surgery?
SJ: Danielle’s hips are now back in place. Her right leg was shorter above the knee and she had a painful and very unstable right knee joint so we amputated her right leg through the knee joint. She has already had some lengthening of her right femur done with a fixator.
Developmental dysplasia information1-2 in 1,000 babies born may have a hip that is dislocated at birth. A knee that is dislocated at birth is far rarer at around 1 in 100,000 (if the knee is dislocated, the hip is often dislocated as well). In general, girls are more likely to be a�ected than boys. The left hip is a�ected more often than the right, but often both are a�ected.
While knee dislocation is very apparent at birth the signs of hip displacement may be subtle and cause no pain in childhood. The following are, however, associated with the condition:
• one leg appears shorter than the other;
• an extra deep crease is present on the inside
Paediatric orthopaedics
important in growing children to maximise mobility and reduce the deformity that occurs in the growing child. The subsequent deformity may produce uneven growth in bone as well as life-long disability and pain.
What is Joint Action doing to help?Children with diplegic type of cerebral palsy, mainly a�ecting both legs, often experience signi�cant walking di�culties. These di�culties usually deteriorate over time due to the development of joint deformities and increasing height and weight. These deformities can be greatly improved with orthopaedic surgery. Patients with cerebral palsy invariably experience muscle weakness and loss of function after surgery and the rehabilitation time is very prolonged. It is clear that surgical techniques and post-operative rehabilitation need to improve further to preserve and improve muscle strength and motor function. Joint Action has funded Mr Tim Theologis in Oxford, to combine a new minimally invasive or ‘keyhole’ technique of multilevel surgery, combined with intensive post-operative strengthening. He believes this will lead to a faster and more optimal recovery time from surgery for children with cerebral palsy, resulting in less hard work for their families and carers. This would be a signi�cant advance on present practice.
What does the future hold?
Screening techniques need improving for the early detection of congenital dislocation of the hip. Research needs to be undertaken into the molecular, biological and genetic causes of limb growth disorders and defective genes identi�ed. With this knowledge, the possibility of replacing the defective genes to prevent disease in children needs to be investigated. Surgical techniques to allow metal implants to lengthen bones as the child grows need further development. Collaborative work is necessary to improve the overall care of the injured child.
Justin* is 13 and in remission for Bone Cancer. He was diagnosed with Osteosarcoma (malignant bone cancer) of the right humerous when he was 9. He was treated with chemotherapy and had his upper arm and shoulder replaced with a titanium prosthesis which was specially developed for him by The Royal Orthopaedic Hospital in Stanmore, London.
Unfortunately, the chemotherapy used to obtain the remission damaged the left side of his heart resulting in cardiomyopathy (heart muscle disease), which lead to a blood clot forming and he suffered a full stroke at the age of 10. This has left his muscles weak so that even with his new prosthetic arm, he still has limited movement.
Justin’s tenacity has allowed him to overcome losing the ability to speak, read and walk. His gritted determination has also helped him get over the fact that he has temporarily lost the use of his new arm due to the stroke. Even though his quality of life remains very poor and he is permanently out of breath all he wants to do is go to school.
If we can channel the funds to explore better ways of treating the myriad of Paediatric Orthopaedic conditions that exist, then we can help grant children like Justin a vastly improved quality of life, give him the opportunity to go to school, make new friends and help to keep him mobile.
* The names and images in this story have been changed deliberately to protect their privacy.
Justin’s Story of the thigh;
• one hip joint moves differently from the other and the knee may appear to face outwards;
• when a baby's nappy is changed one leg does not seem to move outwards as fully as the other one;
• the child crawls with one leg dragging.
After walking age it may be noticed that:
• a child stands and walks with one foot on tiptoes with the heel up off the floor. (The child walks this way in an attempt to accommodate the difference in leg length);
• the child walks with a limp (or waddles if both hips are affected).
The causes of hip and knee dislocations are not, as yet, known. Supporting Orthopaedic Research could help us to �nd answers to many unanswered questions so we are able to treat children like Danielle even better. Your donation will count. Please give as much as you can!
Danielle’s surgeon, Mr Stan Jones, Sheffield Children’s Hospital
Who is a�ected?Children can be born with skeletal abnormalities (congenital defects) such as Clubfoot, Duchene Muscular Dystrophy, Cerebral Palsy and hip dislocations. Musculoskeletal diseases such as Perthes’ Disease and Juvenile Rheumatoid Arthritis a�ect the long-term mobility of growing children. In addition, every year, 25% of otherwise healthy children sustain an injury severe enough to require medical attention. Fast and e�ective treatment is particularly
is a She�eld-based, British company, committed to delivering innovative and quality orthopaedic solutions for healthcare providers and patients worldwide and is happy to support Joint Action
C
M
Y
CM
MY
CY
CMY
K
JA Newsletter Sept'10_Inner.pdf 08/10/2010 15:15:18
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010 Joint Action News October 2010www.jointaction.org.uk
My next port of call was Danielle’s surgeon,Mr Stan Jones, to �nd out about the condition itself.
LB: How common is developmental dysplasia of the hips and knees in newborns?
SJ: The combination of the hip and the knee is not very common at all – it’s very rare. I don’t know the exact numbers but it’s definitely 1 in a few thousand. On their own you would see the hip more often than the knee.
LB: How does it occur?
SJ: It’s just one of those things – completely random. Studies have shown it’s more common in girls than boys; a genetic link would be unusual but it could be possible.
LB: What’s the best practice of helping children who have this condition?
SJ: Once it’s recognised then it should be treated as soon as possible to enable the child to have a better way of life. Sometimes it can go unrecognised. It is better for the child if it’s recognised as a baby. It is
often misdiagnosed. Because Danielle had both the hips and the knee, it was easier to recognise.
LB: Was Danielle’s request to remove her own leg unusual?
SJ: It was very unusual. So much so, I asked the advice of colleagues and told Danielle to ask the advice of the prosthetics people. I also put her in touch with other families in a similar situation. After all of the advice she was still adamant.
LB: What resulted from Danielle’s surgery?
SJ: Danielle’s hips are now back in place. Her right leg was shorter above the knee and she had a painful and very unstable right knee joint so we amputated her right leg through the knee joint. She has already had some lengthening of her right femur done with a fixator.
Developmental dysplasia information1-2 in 1,000 babies born may have a hip that is dislocated at birth. A knee that is dislocated at birth is far rarer at around 1 in 100,000 (if the knee is dislocated, the hip is often dislocated as well). In general, girls are more likely to be a�ected than boys. The left hip is a�ected more often than the right, but often both are a�ected.
While knee dislocation is very apparent at birth the signs of hip displacement may be subtle and cause no pain in childhood. The following are, however, associated with the condition:
• one leg appears shorter than the other;
• an extra deep crease is present on the inside
Paediatric orthopaedics
important in growing children to maximise mobility and reduce the deformity that occurs in the growing child. The subsequent deformity may produce uneven growth in bone as well as life-long disability and pain.
What is Joint Action doing to help?Children with diplegic type of cerebral palsy, mainly a�ecting both legs, often experience signi�cant walking di�culties. These di�culties usually deteriorate over time due to the development of joint deformities and increasing height and weight. These deformities can be greatly improved with orthopaedic surgery. Patients with cerebral palsy invariably experience muscle weakness and loss of function after surgery and the rehabilitation time is very prolonged. It is clear that surgical techniques and post-operative rehabilitation need to improve further to preserve and improve muscle strength and motor function. Joint Action has funded Mr Tim Theologis in Oxford, to combine a new minimally invasive or ‘keyhole’ technique of multilevel surgery, combined with intensive post-operative strengthening. He believes this will lead to a faster and more optimal recovery time from surgery for children with cerebral palsy, resulting in less hard work for their families and carers. This would be a signi�cant advance on present practice.
What does the future hold?
Screening techniques need improving for the early detection of congenital dislocation of the hip. Research needs to be undertaken into the molecular, biological and genetic causes of limb growth disorders and defective genes identi�ed. With this knowledge, the possibility of replacing the defective genes to prevent disease in children needs to be investigated. Surgical techniques to allow metal implants to lengthen bones as the child grows need further development. Collaborative work is necessary to improve the overall care of the injured child.
Justin* is 13 and in remission for Bone Cancer. He was diagnosed with Osteosarcoma (malignant bone cancer) of the right humerous when he was 9. He was treated with chemotherapy and had his upper arm and shoulder replaced with a titanium prosthesis which was specially developed for him by The Royal Orthopaedic Hospital in Stanmore, London.
Unfortunately, the chemotherapy used to obtain the remission damaged the left side of his heart resulting in cardiomyopathy (heart muscle disease), which lead to a blood clot forming and he suffered a full stroke at the age of 10. This has left his muscles weak so that even with his new prosthetic arm, he still has limited movement.
Justin’s tenacity has allowed him to overcome losing the ability to speak, read and walk. His gritted determination has also helped him get over the fact that he has temporarily lost the use of his new arm due to the stroke. Even though his quality of life remains very poor and he is permanently out of breath all he wants to do is go to school.
If we can channel the funds to explore better ways of treating the myriad of Paediatric Orthopaedic conditions that exist, then we can help grant children like Justin a vastly improved quality of life, give him the opportunity to go to school, make new friends and help to keep him mobile.
* The names and images in this story have been changed deliberately to protect their privacy.
Justin’s Story of the thigh;
• one hip joint moves differently from the other and the knee may appear to face outwards;
• when a baby's nappy is changed one leg does not seem to move outwards as fully as the other one;
• the child crawls with one leg dragging.
After walking age it may be noticed that:
• a child stands and walks with one foot on tiptoes with the heel up off the floor. (The child walks this way in an attempt to accommodate the difference in leg length);
• the child walks with a limp (or waddles if both hips are affected).
The causes of hip and knee dislocations are not, as yet, known. Supporting Orthopaedic Research could help us to �nd answers to many unanswered questions so we are able to treat children like Danielle even better. Your donation will count. Please give as much as you can!
Danielle’s surgeon, Mr Stan Jones, Sheffield Children’s Hospital
Who is a�ected?Children can be born with skeletal abnormalities (congenital defects) such as Clubfoot, Duchene Muscular Dystrophy, Cerebral Palsy and hip dislocations. Musculoskeletal diseases such as Perthes’ Disease and Juvenile Rheumatoid Arthritis a�ect the long-term mobility of growing children. In addition, every year, 25% of otherwise healthy children sustain an injury severe enough to require medical attention. Fast and e�ective treatment is particularly
is a She�eld-based, British company, committed to delivering innovative and quality orthopaedic solutions for healthcare providers and patients worldwide and is happy to support Joint Action
C
M
Y
CM
MY
CY
CMY
K
JA Newsletter Sept'10_Inner.pdf 08/10/2010 15:15:18
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010 Joint Action News October 2010www.jointaction.org.uk
My next port of call was Danielle’s surgeon,Mr Stan Jones, to �nd out about the condition itself.
LB: How common is developmental dysplasia of the hips and knees in newborns?
SJ: The combination of the hip and the knee is not very common at all – it’s very rare. I don’t know the exact numbers but it’s definitely 1 in a few thousand. On their own you would see the hip more often than the knee.
LB: How does it occur?
SJ: It’s just one of those things – completely random. Studies have shown it’s more common in girls than boys; a genetic link would be unusual but it could be possible.
LB: What’s the best practice of helping children who have this condition?
SJ: Once it’s recognised then it should be treated as soon as possible to enable the child to have a better way of life. Sometimes it can go unrecognised. It is better for the child if it’s recognised as a baby. It is
often misdiagnosed. Because Danielle had both the hips and the knee, it was easier to recognise.
LB: Was Danielle’s request to remove her own leg unusual?
SJ: It was very unusual. So much so, I asked the advice of colleagues and told Danielle to ask the advice of the prosthetics people. I also put her in touch with other families in a similar situation. After all of the advice she was still adamant.
LB: What resulted from Danielle’s surgery?
SJ: Danielle’s hips are now back in place. Her right leg was shorter above the knee and she had a painful and very unstable right knee joint so we amputated her right leg through the knee joint. She has already had some lengthening of her right femur done with a fixator.
Developmental dysplasia information1-2 in 1,000 babies born may have a hip that is dislocated at birth. A knee that is dislocated at birth is far rarer at around 1 in 100,000 (if the knee is dislocated, the hip is often dislocated as well). In general, girls are more likely to be a�ected than boys. The left hip is a�ected more often than the right, but often both are a�ected.
While knee dislocation is very apparent at birth the signs of hip displacement may be subtle and cause no pain in childhood. The following are, however, associated with the condition:
• one leg appears shorter than the other;
• an extra deep crease is present on the inside
Paediatric orthopaedics
important in growing children to maximise mobility and reduce the deformity that occurs in the growing child. The subsequent deformity may produce uneven growth in bone as well as life-long disability and pain.
What is Joint Action doing to help?Children with diplegic type of cerebral palsy, mainly a�ecting both legs, often experience signi�cant walking di�culties. These di�culties usually deteriorate over time due to the development of joint deformities and increasing height and weight. These deformities can be greatly improved with orthopaedic surgery. Patients with cerebral palsy invariably experience muscle weakness and loss of function after surgery and the rehabilitation time is very prolonged. It is clear that surgical techniques and post-operative rehabilitation need to improve further to preserve and improve muscle strength and motor function. Joint Action has funded Mr Tim Theologis in Oxford, to combine a new minimally invasive or ‘keyhole’ technique of multilevel surgery, combined with intensive post-operative strengthening. He believes this will lead to a faster and more optimal recovery time from surgery for children with cerebral palsy, resulting in less hard work for their families and carers. This would be a signi�cant advance on present practice.
What does the future hold?
Screening techniques need improving for the early detection of congenital dislocation of the hip. Research needs to be undertaken into the molecular, biological and genetic causes of limb growth disorders and defective genes identi�ed. With this knowledge, the possibility of replacing the defective genes to prevent disease in children needs to be investigated. Surgical techniques to allow metal implants to lengthen bones as the child grows need further development. Collaborative work is necessary to improve the overall care of the injured child.
Justin* is 13 and in remission for Bone Cancer. He was diagnosed with Osteosarcoma (malignant bone cancer) of the right humerous when he was 9. He was treated with chemotherapy and had his upper arm and shoulder replaced with a titanium prosthesis which was specially developed for him by The Royal Orthopaedic Hospital in Stanmore, London.
Unfortunately, the chemotherapy used to obtain the remission damaged the left side of his heart resulting in cardiomyopathy (heart muscle disease), which lead to a blood clot forming and he suffered a full stroke at the age of 10. This has left his muscles weak so that even with his new prosthetic arm, he still has limited movement.
Justin’s tenacity has allowed him to overcome losing the ability to speak, read and walk. His gritted determination has also helped him get over the fact that he has temporarily lost the use of his new arm due to the stroke. Even though his quality of life remains very poor and he is permanently out of breath all he wants to do is go to school.
If we can channel the funds to explore better ways of treating the myriad of Paediatric Orthopaedic conditions that exist, then we can help grant children like Justin a vastly improved quality of life, give him the opportunity to go to school, make new friends and help to keep him mobile.
* The names and images in this story have been changed deliberately to protect their privacy.
Justin’s Story of the thigh;
• one hip joint moves differently from the other and the knee may appear to face outwards;
• when a baby's nappy is changed one leg does not seem to move outwards as fully as the other one;
• the child crawls with one leg dragging.
After walking age it may be noticed that:
• a child stands and walks with one foot on tiptoes with the heel up off the floor. (The child walks this way in an attempt to accommodate the difference in leg length);
• the child walks with a limp (or waddles if both hips are affected).
The causes of hip and knee dislocations are not, as yet, known. Supporting Orthopaedic Research could help us to �nd answers to many unanswered questions so we are able to treat children like Danielle even better. Your donation will count. Please give as much as you can!
Danielle’s surgeon, Mr Stan Jones, Sheffield Children’s Hospital
Who is a�ected?Children can be born with skeletal abnormalities (congenital defects) such as Clubfoot, Duchene Muscular Dystrophy, Cerebral Palsy and hip dislocations. Musculoskeletal diseases such as Perthes’ Disease and Juvenile Rheumatoid Arthritis a�ect the long-term mobility of growing children. In addition, every year, 25% of otherwise healthy children sustain an injury severe enough to require medical attention. Fast and e�ective treatment is particularly
is a She�eld-based, British company, committed to delivering innovative and quality orthopaedic solutions for healthcare providers and patients worldwide and is happy to support Joint Action
C
M
Y
CM
MY
CY
CMY
K
JA Newsletter Sept'10_Inner.pdf 08/10/2010 15:15:18
newsKeeping People Mobile October 2010
Joint Action
by Lauren Bickles
11 year old makes a life-changing decision to remove her lower leg
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News September 2010
BritishOrthopaedicAssociationKeeping People Mobile
Speaking with Danielle Bradshaw over the telephone you would assume that you’re having a conversation with an average 11 year old girl. She was incredibly chirpy (perhaps because she was on her way home from school) and had a very sweet demeanour. However, Danielle was born with developmental dysplasia of both hips and her right knee was dislocated, so she was not living the life a normal 11 year old girl usually leads. She has had to make a very important decision about the way she wants to live the rest of her life, by amputating her lower right leg.
Lauren Bickles: You’re 11 now; how did you feel when you were younger having your condition?
Danielle Bradshaw: It was really difficult. I wanted to be able to run around and play with my friends.
LB: How hard was it to convince your mum and
step-dad that you wanted the surgery?
DB: My mum was watching her favourite programme one night and in the break I told her. She talked it over with my step-dad and they were against it at first but then they decided it was a good idea as I wanted it so much.
LB: Now you’ve had this operation, what do you want to do now?
DB: My ambition is to run for my country in the Paralympics. I’ve been to PACE in Cheadle [they make prosthetics] to be measured and weighed and for a new running blade like Oscar Pistorius [South African paralympic champion “fastest thing on no legs”]. I have been told I have perfect balance as I have been using a training leg ‘til I get my new one.
LB: Who or what has inspired you?
DB: The soldiers in Afghanistan have inspired me. They have had new legs and have gone back to the front-line to fight for their country. They’re very brave.
After my conversation with Danielle I spoke to her step-dad, Darren Quigley:
“Danielle’s school have been very supportive and raised £3,000 for a sports wheelchair. She�eld Children’s Hospital has been brilliant. Danielle is more mobile now than before she had the operation. We went on a caravan holiday to Blackpool shortly after Danielle’s operation. She rode a donkey 6 days after her operation and also won a 3-legged race with her mum!”
Danielle added, “Even though I have perfect balance, I get my brother to do the washing up…while I still can!!”
7.5% of your total order purchase will go towards Trauma & Orthopaedic Research
Also available to purchase: Candles - Diaries (2011) - Filofax Organisers - Gift Bags / Gift Wrap - Leather Gifts - Notebooks / Journals - Pens - Soft Toys - Sweets
Last recommended day for ordering gifts/cards: Saturday 11th December 2010
Last recommended day for Christmas posting: 1st Class = Tuesday 21st December 2010
2nd Class = Saturday 18th December 2010
P P O R
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z3 25 2 22
O R O P E R RE E
If you can work out the phrase within the Cryptogram you could win a limited edition, personalised First Day Cover of the Royal Mail Medical Breakthroughs Stamp Collection (released 16/9/10) which includes the “Hip Replacement 60p stamp”. You will also receive a presentation pack of the stamps. 9 runners up will receive just the presentation pack.
Decipher the phrase below. Each number represents a letter of the alphabet. Not every letter of the alphabet is used in this puzzle. Once completed, send us the list of letters with their allocated numbers (e.g. A=1, B=2) and the complete phrase. 4 letters have been given to you already. It’s up to you to work out the remaining letters. CLUE – there are only 8 additional letters to �nd.
Joint Action Prize Cryptogram
To enter the competition - send your name, address, phone number and the answer to:
11 year old makes a life-changing decision to remove her lower leg
www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News October 2010www.jointaction.org.uk Joint Action News September 2010
BritishOrthopaedicAssociationKeeping People Mobile
Speaking with Danielle Bradshaw over the telephone you would assume that you’re having a conversation with an average 11 year old girl. She was incredibly chirpy (perhaps because she was on her way home from school) and had a very sweet demeanour. However, Danielle was born with developmental dysplasia of both hips and her right knee was dislocated, so she was not living the life a normal 11 year old girl usually leads. She has had to make a very important decision about the way she wants to live the rest of her life, by amputating her lower right leg.
Lauren Bickles: You’re 11 now; how did you feel when you were younger having your condition?
Danielle Bradshaw: It was really difficult. I wanted to be able to run around and play with my friends.
LB: How hard was it to convince your mum and
step-dad that you wanted the surgery?
DB: My mum was watching her favourite programme one night and in the break I told her. She talked it over with my step-dad and they were against it at first but then they decided it was a good idea as I wanted it so much.
LB: Now you’ve had this operation, what do you want to do now?
DB: My ambition is to run for my country in the Paralympics. I’ve been to PACE in Cheadle [they make prosthetics] to be measured and weighed and for a new running blade like Oscar Pistorius [South African paralympic champion “fastest thing on no legs”]. I have been told I have perfect balance as I have been using a training leg ‘til I get my new one.
LB: Who or what has inspired you?
DB: The soldiers in Afghanistan have inspired me. They have had new legs and have gone back to the front-line to fight for their country. They’re very brave.
After my conversation with Danielle I spoke to her step-dad, Darren Quigley:
“Danielle’s school have been very supportive and raised £3,000 for a sports wheelchair. She�eld Children’s Hospital has been brilliant. Danielle is more mobile now than before she had the operation. We went on a caravan holiday to Blackpool shortly after Danielle’s operation. She rode a donkey 6 days after her operation and also won a 3-legged race with her mum!”
Danielle added, “Even though I have perfect balance, I get my brother to do the washing up…while I still can!!”
7.5% of your total order purchase will go towards Trauma & Orthopaedic Research
Also available to purchase: Candles - Diaries (2011) - Filofax Organisers - Gift Bags / Gift Wrap - Leather Gifts - Notebooks / Journals - Pens - Soft Toys - Sweets
Last recommended day for ordering gifts/cards: Saturday 11th December 2010
Last recommended day for Christmas posting: 1st Class = Tuesday 21st December 2010
2nd Class = Saturday 18th December 2010
P P O R
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O R O P E R RE E
If you can work out the phrase within the Cryptogram you could win a limited edition, personalised First Day Cover of the Royal Mail Medical Breakthroughs Stamp Collection (released 16/9/10) which includes the “Hip Replacement 60p stamp”. You will also receive a presentation pack of the stamps. 9 runners up will receive just the presentation pack.
Decipher the phrase below. Each number represents a letter of the alphabet. Not every letter of the alphabet is used in this puzzle. Once completed, send us the list of letters with their allocated numbers (e.g. A=1, B=2) and the complete phrase. 4 letters have been given to you already. It’s up to you to work out the remaining letters. CLUE – there are only 8 additional letters to �nd.
Joint Action Prize Cryptogram
To enter the competition - send your name, address, phone number and the answer to:
