The human impact of war and man made disasters is hard to imagine when our minds are cluttered with the minutiae of our first world problems.

Next time, you are worrying about how you are going to get up the next rung of the career ladder, or book that ‘experience’ that will see you one-up your friends or colleagues, please spare a moment to consider a young man that I met yesterday.

Adnan (not his real name) was only 7 years old living in Syria when a bomb dropped by an aircraft exploded and a fragment of the bomb entered his spine. His spinal cord was damaged and he lost the use of his legs, as well as bladder and bowel control. I wonder if the pilot who dropped the bomb ever thought about who he might have killed or injured.

Adan is now a refugee. He is an orphan. He is reliant on his neighbour (also a refugee) for help, as there are many things that he cant do. However, one thing that he did do was to brighten up our lives. This young man, with his infectious smile, and positive attitude, is quite a remarkable survivor. He touched our hearts, but I fear that the future is going to be difficult for him, as a refugee, with a disability, in a foreign country.

He came into our clinic with an ulcer on his thigh. Adnan has developed a scoliosis, a curvature of the spine, as well as windswept legs, all secondary to his injury. He is using a very basic wheelchair, which doesnt really cater for his lack of sensation, and his bony prominences. In this case the trochanter (the bump at the top of the thigh bone) has caused ulceration of the skin, where it presses on the wheelchair.

Adnan will need bespoke supports for his body within his wheelchair to support his body and prevent ulcerations on insensate skin.

We hope that we can help, and we also hope that you will be able to as well.

In my last posting, I was pleased to announce that we had raised enough money to buy another disabled man an electric wheelchair, so that he could regain some independence. I’m so grateful to those who contributed to the £1500 needed for that wheelchair. The cost of a cup of coffee for you can count to help make a difference for someone who is in desperate circumstances.

You can help to support Adnan by donating to the Orthocycle charity at and using the on screen button. You can use any credit card. Even if it is just the cost of a cup of coffee, it will contribute to our work to help those in need, innocent victims of other people’s wars.

This is the sixteen visit I have made to treat Syrian refugees in three years. Unfortunately, I fear that there is no end to the number of injured, as I see new patients every time, and still more are being injured and killed every day, many of them children like Adnan.

Please share with your contacts, friends and colleagues.


In June, I made an appeal to raise money for one of my Syrian patients who has lost one arm and one leg in the civil war. He couldn’t get around with crutches due to the loss of his hand, and he also couldn’t use a normal wheelchair.

I’m really grateful to those of you who donated towards the wheelchair. I won’t list them all here, but the last £70 came from Clare Cleret from Chartres in France. I will email each of the donors personally to let them know and thank them individually.

As you can see from the photograph, he has now been given an electric wheelchair to give him some more independence. My Syrian colleague, Dr M, delivered the wheelchair, and sent me these photos on Friday. The smile on his face really made my day.

It is moments like this that make running the orthocycle charity worthwhile.

Although this is a good news story, there are so many more people who need help. This might be through orthotics, physiotherapy or mobility scooters. It may be through surgery that we can perform with our Syrian colleagues to heal broken limbs.

There are more and more injured every day. The current attacks on Idlib have killed 500 people since April, including 150 children. There are thousands more who have been injuried.

Please donate to Orthocycle at to allow us to continue with this work.


Amputee Not Asking For Handouts But Desperate

Tonight, driving through the small Turkish town of Reyhanli, a stone’s throw from the Syrian border, I saw this man in the street. I will call him Ahmed, but this isnt his real name. I recognised Ahmed because I operated on him six months ago, as he had a painful nerve ending in his amputated left leg. He was sitting by the side of a road at a set of traffic lights, trying to sell packets of tissue paper to cars that had stopped at the lights.

Ahmed tries to get about with a crutch, but he cant manage well because he has only one arm. He cant use a normal wheelchair, because he cant manage that, again because he has only one arm.

We bought some tissues from him, and we tried to overpay him, but he wouldnt accept the extra money. He has a family, and is trying to make an honest living. It is heart breaking to see him unable to get around independently because of his disability. He was injured in an aerial bombing while at home in Syria, and suffered the traumatic amputation of two limbs.

The town of Reyhanli has a shocking number of amputees. Sitting in a roadside cafe in the town, it is remarkable how many people, especially young amputees, are getting around with crutches, wheelchairs and electric wheelchairs.

I dont normally use my postings to make a direct appeal, but I think that Ahmed’s fate is really shocking, and I believe that he would really benefit from an electric wheelchair to give him some independence back. The price of these locally in Reyhanli is about £1500.

I would be really grateful if you could please make a contribution, if you feel able to, in order to help buy Ahmed an electric wheelchair. Any contribution, no matter how big or small, will help.

You can make a donation at the Orthocycle charity’s website at and as soon as we have raised enough money to buy the wheelchair, I will hopefully post a picture of him in the wheelchair to let you know that this objective has been reached.

Thank you in advance for any contributions. Please re-share with your friends and colleagues, so that we can reach this total.

Donate to Orthocycle by Pressing the Button Below



Orthocycle Fundraising Dinner 3rd May 2019

Thank you to everyone who came to the fundraising dinner at Sultanahmet Restaurant! I hope that everyone enjoyed their meal and the company. We raised over £500!

Trustee Carol-Ann McArdle explained the concept of Orthocycle. Farhan Ali gave a fascinating talk on his visits to the Gambia to improve orthopaedic services there. Amer Shoaib gave a talk on how the UK benefits from the experience we have abroad, as well as how other countries benefit from the recycling of surgical equipment.

If you would like to donate to Orthocycle, you can click on the Pay Now button or you can make regular contributions by a direct debit.


Fundraising Dinner Friday May 3rd 1930

Sultanahmed Restaurant 1st Floor, Rusholme

Orthocycle will be hosting a fundraising dinner at the Sultanahmet restaurant in Rusholme, Manchester. This event is to bring together friends and supporters to find out more about what work we have done, and what we want to do in the future, with your help.


Please click here to find out more details about the dinner

The Best Laid Plans of Mice and Men….

July 18 2018

Todays picture shows a fairly content Syrian Orthopaedic Surgeon, Dr M, and the surgical team after a hard day’s graft treating Syrian refugees.



Treating Syrian War Casualties – Scarred Physically and Mentally…


July 16, 2018

It’s day one of another joint Orthocycle / Syrian Relief / SBMS / ATAARelief project treating casualties from the ongoing civil war in Syria. I landed at the airport in south east Turkey last night (or early today) at 0200 hours. Today was a full working day organising the logistics and seeing patients in an outpatient clinic, ready for another week of operating.


amer shoaib receiving certificate

amer shoaib receiving certificate

examining 9 year old with leg injuries

examining 9 year old with leg injuries

infected hip joint and sacrum discharging pus

infected hip joint and sacrum discharging pus


Manchester orthopaedic surgeon Amer Shoaib has just returned from South East Turkey, where he has spent a week working with Syrian surgeons, to treat victims of the civil war in Syria.

At the end of his week’s stay, Amer was presented with a certificate of appreciation by the hospital manager Mahmoud Kouidir.

Eight patients underwent complex external fixation surgery. This surgery is not available within Syria, and the equipment was all recycled or donated.


We are really grateful to our friends at Biocomposites, who have donated some Stimulan for treating infections in our patients. We have used this product, mixed with antibiotics to treat patients who have contaminated bone and soft tissues from war injuries. We have used it to primarily treat injuries of war – the first documented use of antibiotic space fillers for this purpose. We have used the experience from treating Syrian patients back to Manchester, where we used the same product to treat our bomb victims there. Biocomposites supported us with treatment of the Manchester bomb by giving us free Stimulan – we cant thank them enough for their generosity and humanity.

child with congenital deformity

child with congenital deformity

Yasser Jabbar examines a nonplussed infant

Yasser Jabbar examines a nonplussed infant

Surgeon Yasser Jabbar operates on a child with DDH

Surgeon Yasser Jabbar operates on a child with DDH


Consultant Paediatric Orthopaedic Surgeons from the Royal Manchester Childrens Hospital have volunteered to visit Turkey to assess and treat children from Syria. These surgeons are specialists in dealing with children’s musculoskeletal problems, from malformed hip joints to malaligned or short limbs.

We have been lucky to have had Dr Yasser Jabbar from Great Ormond Street visit Emel Hospital to perform surgery on children with developmental hip dysplasia and bone loss from injury. This mission was a great success.

The war in Syria affects children in many ways – physically, socially and psychologically. As there is no infrastructure left in the country, children do not have access to normal hospital services. This means that there is no specialised treatment for children with traumatic injuries, and also no treatment for children who have congenital or developmental problems that require input from an orthopaedic surgeon.

The Manchester team will be heading out late in 2017.