Rob Middleton

Professor Rob Middleton

  • u_rmiddleton at bournemouth dot ac dot uk
  • Professor of Orthopaedics
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Biography

Professor Rob Middleton is a Consultant Orthopaedic Surgeon specialising in hip replacement procedures. He works in the National Health Service (NHS) at the Royal Bournemouth Hospital and at Poole Hospital where he is Director of Trauma. He also works privately at Nuffield Health Bournemouth Hospital and The Harbour Hospital, Poole.

Professor Middleton is recognised both nationally and internationally for his work. In 2008 he was appointed as the National Clinical Lead in hip and knee replacement at the NHS Institute of Innovation and Improvement. In this role he specialises in the development of enhanced recovery techniques for patients which enables faster recovery and better outcomes from surgery. He is also a highly active researcher and has worked on the development of new techniques in orthopaedic surgery for the last fifteen years. This work has led to his appointment as a Visiting Fellow at Bournemouth University.

At Bournemouth University he is Professor of Orthopaedics and Head of the Orthopaedic Research Institute...

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Journal Articles

Chapters

  • Plakogiannis, C., Middleton, R.G., 2013. Hip resurfacing arthroplasty. Practical Procedures in Elective Orthopaedic Surgery Pelvis and Lower Extremity.
  • Lloyd, J., Starks, I., Wainwright, T.W., Middleton, R.G., 2013. Metal-on-Metal Resurfacing and the Cost to the Nation: A Conservative Estimate of the Unexpected Costs Required to Implement the New Metal-on-Metal Follow-Up Programme in the UK. Total Hip Arthroplasty Tribological Considerations and Clinical Consequences. Springer Science & Business Media.
  • Middleton, R., Olyslaegers, C., Wainwright, T., 2007. Computer Navigation. Improving Outcomes with Hard on Hard Bearings. Bioceramics and alternatives bearings in joint arthroplasty. In: Chang, J.-D., Billau, K., eds. Bioceramics and Alternative Bearings in Joint Arthroplasty. Steinkopff Darmstadt.

Conferences

  • Wainwright, T., Immins, T., Low, M., Creasey, J., Middleton, R., 2025. 156 Driving a chain reaction: a quality improvement and research led approach to optimising the non-surgical management of hip osteoarthritis. In: International Forum on Quality and Safety in Healthcare 2025 21/05/2025 Utrecht.
  • Southern, K., Wainwright, T., Middleton, R., 2023. Compliance with the ISWCAP checklist in a THR ERAS pathway – A snapshot audit. In: 9th World Congress of the ERAS® Society 31/05/2023 Lisbon.
  • Aung, M., Obakponovwe, O., Raymond, A., Apostolidis, K., Bahadori, S., Wainwright, T.W., Middleton, R., 2020. Maintaining surgical training during the Covid-19 pandemic; a novel use of surgical simulators. In: The Association of Surgeons in Training and x MedAll International Surgical Summit 17/10/2020 Virtual.
  • Vaughan, N., Dubey, V.N., Wainwright, T.W., Middleton, R.G., 2015. Can virtual-reality simulators assess experience and skill level of orthopaedic surgeons? Proceedings of the 2015 Science and Information Conference Sai 2015, 105-108.
  • Vaughan, N., Dubey, V.N., Wainwright, T.W., Middleton, R.G., 2015. Does virtual-reality training on orthopaedic simulators improve performance in the operating room? Proceedings of the 2015 Science and Information Conference Sai 2015, 51-54.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 27/03/2014 Perth, Australia.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 24/03/2014 Melbourne, Australia.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 21/03/2014 Adelaide, Australia.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 19/03/2014 Sydney, Australia.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 18/03/2014 Brisbane, Australia.
  • Wainwright, T., Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 17/03/2014 Auckland, New Zealand.
  • Wainwright, T., Middleton, R., 2012. Orthopaedic Enhanced Recovery. In: Change Champions Masterclass 2012 Series 05/03/2012 Auckland, New Zealand..
  • Holubowycz, O., Howie, D., Middleton, R., The Large Articulation Study Group. Effect of large articulations on the incidence of dislocation one year following THR: An international multicentre randomised controlled trial. dislocation after total hip replacement. In: Australian Orthopaedic Association. Annual Scientific Meeting 2009 Cairns, Australia.
  • Holubowycz, O.T., Howie, D.W., Middleton, R., The Large Articulation Study Group. Large articulations reduce early dislocation after total hip replacement. A randomized controlled trial. In: 10th EFORT Congress 2009 Vienna, Austria.
  • Holubowycz, O.T., Howie, D.W., Middleton, R.. Implant related revision after primary total hip replacement in a randomised trial of articulation size. In: 10th EFORT Congress 2009 Vienna, Austria.
  • Howie, D.W., Holubowycz, O.T., Middleton, R., The Large Articulation Study Group. Large articulations reduce early dislocation after hip replacement. A randomised controlled trial. In: American Academy of Orthopaedic Surgeons. Annual Meeting 2009 Las Vagas, USA.
  • Wainwright, T., Middleton, R., 2008. Effective clinical leadership galvanizes different professional groups and improves patient outcomes and experience. In: Leadership and Practice Development in Health Conference 01/11/2008 Hobart, Australia..
  • Wainwright, T., Middleton, R., Olyslaegers, C., Vingerhoeds, B., 2008. Adopting a patient-centered pathway for hip and knee replacement patients delivers improvement in all dimensions of healthcare quality. In: The International Society for Quality in Health Care 25th International Conference 19/10/2008 Copenhagen, Denmark..
  • Wainwright, T., Middleton, R., Olyslaegers, C., Vingerhoeds, B., Fick, D., 2008. Focusing on improving clinical outcomes using a patient centred approach allows you to effectively manage the challenges of healthcare economics and policy. In: European Health Management Association Annual Conference 01/06/2008 Athens, Greece..
  • Olyslaegers, C., Wainwright, T., Middleton, R., 2008. A PATIENT CENTRED PATHWAY DECREASES LENGTH OF STAY AND IMPROVES PATIENT SATISFACTION AFTER TOTAL HIP REPLACEMENT. In: British Hip Society Annual Conference 2008 27/02/2008 Norwich.
  • Middleton, R.G., Olyslaegers, C., Wainwright, T.W., 2007. Computer navigation: Improving outcomes with hard on hard bearings. Ceramics in Orthopaedics Bioceramics and Alternative Bearings in Joint Arthroplasty 12th International Biolox Symposium Proceedings, 341-343.
  • Middleton, R.G., 2006. Navigated Hip Resurfacing. The Early Experience. In: The London Hip Meeting 2006 08/05/2006 London.
  • Middleton, R.G., 2006. Navigation Applied to Resurfacing. In: Hip Resurfacing State of the Art Surgical Strategies 18/03/2006 Rome, Italy.
  • Sandhu, H.S., Middleton, R.G., Wainwright, T.W., Serjeant, S.A.. Durom hip resurfacing with Medtronic computer navigation - Initial experience. In: 5th Annual CAOS Conference 2005 Helsinki, Finland.
  • Sandhu, H.S., Middleton, R.G., Serjeant, S.A.. Hip Resurfacing with Computer Navigation : Initial experience at the Royal Bournemouth Hospital. In: 7th Annual EFOT Congress 2005 Lisbon.
  • Middleton, R.G.. Which Bearing. In: Future and Outcomes for the Younger Patient 03/09/2004 Gleneagles, Scotland.
  • Middleton, R.G.. Cemented Hips. In: Core Skills in Operative Orthopaedic Surgery, Royal College of Surgeons of England 25/02/2003 UK.
  • Middleton, R.G.. Polished Tapered Stems. In: Annual Vail Orthopaedic Symposium 20/01/2003 UK.
  • Middleton, R.G.. Cemented MIS. In: Future and Outcomes in Minimally Invasive Arthroplasty 07/09/2003 Gleneagles, Scotland.
  • Middleton, R.G., Howie, D.W., Costi, K., Sharpe, P., 1998. Effects of design changes on cemented tapered femoral stem fixation. Clinical Orthopaedics and Related Research, 355, 47-56.
  • Middleton, R.G.. Effects on Cemented Femoral Fixation of Changes to stem design. In: Australian Orthopaedic SA Branch Meeting 1998 Adelaide, Australia.
  • Harris, S.J., Lin, W.J., Fan, K.L., Hibberd, R.D., Cobb, J., Middleton, R., Davies, B.L.. Experiences with robotic systems for knee surgery. CVRMed, 1205 Springer.
  • Middleton, R.G.. Operating Time for Primary Total Hip Arthroplasty. In: EFOT 1997 Barcelona, Spain.
  • Middleton, R.G.. Corralling Loose Bodies in the Knee. In: EFOT 1997 Barcelona, Spain.
  • Middleton, R.G.. The influence of osteoarthritis on the pattern of proximal femoral fractures. In: Royal Society of Medicine Summer Meeting 06/1996 UK.
  • Middleton, R.G.. Modern Imaging of Thoracicolumbar Fractures. In: The Royal Society of Medicine 05/1996 UK.
  • Middleton, R.G.. Operating time for primary total hip Arthroplasty. In: SIROT 1996 Amsterdam.
  • Middleton, R.G.. The influence of osteoarthritis on the pattern of proximal femoral fractures. In: SIROT 1996 Amsterdam.
  • Middleton, R.G.. Histological response of synovium to carbon fibre pads in the knee. In: SIROT 1996 Amsterdam.
  • Middleton, R.G.. Removing uncemented femoral stems. In: British Orthopaedic Association Annual Meeting 09/1995 UK.
  • Middleton, R.G.. Removing malleolar screws with ease. In: British Orthopaedic Association Annual Meeting 09/1995 UK.
  • Middleton, R.G.. Multiple guide wire technique for the removal of the short distal fragment of a fractured intramedullary nail. In: British Orthopaedic Association Annual Meeting 09/1995 UK.
  • Middleton, R.G.. Operating time for total hip arthroplasty. A comparison between the USA and England. In: British Orthopaedic Association Annual Meeting 09/1995 UK.
  • Middleton, R.G.. Histological response of synovium to carbon fibre pads in the knee. In: British Orthopaedic Association Annual Meeting 09/1995 UK.
  • Middleton, R.G.. British Surgeons are faster surgeons. In: The Seddon Society annual meeting 06/1995 Stanmore.
  • Middleton, R.G.. MRI in low back pain, an audit. In: North West Thames Orthopaedic Club 05/1995 UK.

Posters

Invited Lectures

  • 26 Nov 2021 more
  • Re-opening of elective surgery in the NHS, Panel discussion (virtual), 06 May 2021 more
  • Robotic hip surgery and surgical simulation, Ramachandra Institute of Higher Ed & Research, 21 Mar 2021 more
  • Rationing theatres and the role of ERAS, Webinar (online), 04 Jun 2020 more
  • How to use data to understand your outcomes, Beijing, China, 18 Oct 2019 more
  • Surgical Revolution - How Robotics are changing, Beijing, China, 17 Oct 2019 more
  • Robotic Surgery - The need for VR Simulation, Beijing, China, 16 Oct 2019 more
  • Robotic Hip Replacements with Professor Middleton, The West Hants Club, Bournemouth, 10 Jul 2019 more
  • Robotic Hip Surgery, Hamworthy Club, Poole, 19 Sep 2018 more

Grants

  • Mid-term follow-up of highly cross-linked polyethylene Total Hip Replacements. REC Ref: 13/SC/0275. IRAS project ID: 119827. (UNIVERSITY OF SOUTH AUSTRALIA, 01 Jul 2014). Awarded
  • A prospective, observational, multi-centre, cohort study of the MASTERSL femoral stem in patients with degenerative disease of the hip. Rec Ref: 14/LO/0052. (LIMA CORPORATE £127,000, 01 Jun 2014). In Progress
  • A new approach for preventing DVT in THR post-operative patients using NMES (Technology Strategy Board, 01 May 2013). Awarded
  • Improving the bearing surface in total hip replacement (THR): the use of oxidized zirconium and highly cross-linked polyethylene - a randomized controlled trial REC reference - 04/Q0505/71. (SMITH AND NEPHEW, 01 Jan 2006). Completed
  • The Effect of head size on hip dislocation and wear following total hip replacement (CPT/DHOH-11/00) REC reference – 01/6/010. (ZIMMER, 01 Jan 2003). Completed

External Responsibilities

  • Poole Hospital, Medical Commander (2020-2021)
  • NHS Institute for Innovation and Improvement, Clinical lead for Hip and Knee replacement
  • Harbour Hospital, Chair Medical Advisory Committee
  • NICE Clinical Guideline Development for Osteoarthritis, Member

Public Engagement & Outreach Activities

  • University Hospitals Dorset - Understanding Health (15 Jun 2021)
  • Nuffield Health GP Education Programme (01 Sep 2019)
  • Special Joint Meeting of Poole Hospital and the Royal Bournemouth and Christchurch Hospitals Medical Staff Committees (29 Apr 2019)
  • ORI Seminar (19 Nov 2018)
  • ORI Seminar (22 Oct 2018)
  • ORI Seminar Series (24 Sep 2018)
  • Hospital Open Day (15 Sep 2018)
  • Bournemouth University Festival of Learning 2018 (17 Jun 2018)
  • ORI Seminar Series (21 May 2018)
  • ORI Seminar Series (06 Nov 2017)
  • Festival of Learning 2018 (10 Jul 2017)
  • Festival of Learning 2017 (10 Jul 2017)
  • Professor Middleton Inaugural Lecture (12 Apr 2017)

Conference Presentations

  • 14th Congress of the European Hip Society 2020, The effect of the learning curve on operating room utilisation in robotic arm-assisted total hip arthroplasty, 10 Sep 2021, Lille, France
  • RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition, A review of the literature related to the role of nutritional supplementation for an enhanced recovery pathway for hip and knee replacement, 08 Sep 2016, City Hall, Cardiff

Attended Training

  • Good Clinical Practice Refresher, 13 Jan 2021
  • Escape Pain Presentation- Matthew Low, 22 Nov 2017
  • M.O.R.E AMIS Learning Center, 20 Nov 2017
  • Robotic Hip Surgery and Enhanced Recovery after Surgery, 06 Nov 2017
  • GCP refresher training, 22 Feb 2017, GCP certification

Qualifications

  • CCST in Specialist trainingin trauma & Orthopaedic surgery (1999)
  • FRCS (Orth) in Orthopaedics (Royal College of Surgeons of England, 1996)
  • FRCS in Fellow of the Royal College of Surgeons of England (1993)
  • MB Bchir in Surgery (University of Cambridge, 1989)
  • BA (Hons) in Medicine (University of Cambridge, 1986)

Memberships

  • General Medical Council, Member,
  • British Orthopaedic Association, Member,
  • British Medical Association, Member,
The data on this page was last updated at 05:00 on February 19, 2026.