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Professor Middleton publications

Journal Articles
Manara, J., Sandhu, H., Wee, M., Odutola, A., Wainwright, T., Knowles, C. and Middleton, R., 2020. Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery. European Journal of Orthopaedic Surgery and Traumatology, 30 (7), 1181-1186.more information
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Wainwright, T., Burgess, L., Immins, T., Cowan, N. and Middleton, R., 2020. A cycling and education intervention for the treatment of hip osteoarthritis: A quality improvement replication programme. SAGE Open Medicine, 8, 1-9.more information
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Wainwright, T.W., Burgess, L.C. and Middleton, R.G., 2020. A single-centre feasibility randomised controlled trial comparing the incidence of asymptomatic and symptomatic deep vein thrombosis between a neuromuscular electrostimulation device and thromboembolism deterrent stockings in post-operative patients recovering from elective total hip replacement surgery. Surgical Technology International, 36, 1-10.more information
Wainwright, T., Burgess, L., Immins, T. and Middleton, R., 2020. Self-Management of Hip Osteoarthritis Five Years After a Cycling and Education Treatment Pathway. Healthcare, 8 (1), 37.more information
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Wainwright, T.W., Gill, M., McDonald, D.A., Middleton, R.G., Reed, M., Sahota, O., Yates, P. and Ljungqvist, O., 2020. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Acta Orthopaedica, 91 (1), 3-19.more information
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Wainwright, T.W., Immins, T., Antonis, J.H.A., Hartley, R. and Middleton, R.G., 2019. Enhanced Recovery after Surgery: Concepts and Application to Total Shoulder Replacement. Orthopaedic Nursing, 38 (6), 375-380.more information
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Wainwright, T.W., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.G., 2019. Can the introduction of Enhanced Recovery After Surgery (ERAS) reduce the variation in length of stay after total ankle replacement surgery? Foot and Ankle Surgery, 25 (3), 294-297.more information
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Sisak, K., Darch, R., Burgess, L., Middleton, R. and Wainwright, T., 2019. For which patients is attending a pre-operative education session most important in a total hip and knee replacement ERAS pathway? Clinical Nutrition ESPEN, 31, 118.more information
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Wainwright, T., Burgess, L. and Middleton, R., 2019. Does Neuromuscular Electrical Stimulation Improve Recovery Following Acute Ankle Sprain? A Pilot Randomised Controlled Trial. Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders, 12 (1), 1.more information
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Subramanian, P., Wainwright, T.W., Bahadori, S. and Middleton, R.G., 2019. A review of the evolution of robotic-assisted total hip arthroplasty. HIP International, 29 (3), 232-238.more information
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Wainwright, T., Burgess, L., Immins, T. and Middleton, R., 2019. Mid-term follow up and analysis of the subsequent need for hip replacement following completion of the CHAIN (Cycling Against Hip Pain) programme. Osteoarthritis and Cartilage, 27 (S1), S314.more information
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Newman, S., Gulati, V., Bahadori, S., Wainwright, T. and Middleton, R., 2019. Content and Face Validity Assessment of the Sim-K Haptic-Feedback Enhanced Total Knee Replacement Virtual Reality Simulator. The Internet Journal of Orthopedic Surgery, 27 (1).more information
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Gallagher, K., Immins, T., Wainwright, T.W., Bahadori, S., Antonis, J. and Middleton, R., 2019. Validation of the hip arthroscopy module of the virtamed virtual reality arthroscopy trainer. Surgical Technology International, 34, 1-7.more information
Antonis, J., Immins, T., Bahadori, S., Wainwright, T.W., Gallagher, K. and Middleton, R.G., 2019. Validation of the anterior cruciate ligament (ACL) module of the virtamed virtual reality arthroscopy trainer. Surgical Technology International, 35, 1-8.more information
Sisak, K., Darch, R., Burgess, L.C., Middleton, R.G. and Wainwright, T.W., 2019. A preoperative education class reduces length of stay for total knee replacement patients identified at risk of an extended length of stay. Journal of Rehabilitation Medicine, 51 (10), 788-796.more information
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Wainwright, T.W., Burgess, L.C. and Middleton, R.G., 2018. A feasibility randomised controlled trial to evaluate the effectiveness of a novel neuromuscular electro-stimulation device in preventing the formation of oedema following total hip replacement surgery. Heliyon, 4 (7).more information
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Wainwright, T.W., Wang, M.Y., Immins, T. and Middleton, R.G., 2018. Enhanced recovery after surgery (ERAS)—Concepts, components, and application to spine surgery. Seminars in Spine Surgery, 30 (2), 104-110.more information
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Gulati, V., Newman, S., Porter, K.J., Franco, L.C.S., Wainwright, T., Ugoigwe, C. and Middleton, R., 2018. Implications of anticoagulant and antiplatelet therapy in patients presenting with hip fractures: a current concepts review. HIP International, 28 (3), 227-233.more information
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Wainwright, T., Gallagher, K., Immins, T. and Middleton, R., 2018. Improving patient reported outcomes in total hip replacement: What can we learn from the “best” and the “poorest” performing sites? European Journal of Person Centered Healthcare, 6 (1), 5-11.more information
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Wainwright, T., Newman, S. and Middleton, R., 2016. Virtual Reality Simulation – The Future of Orthopaedic Surgery? The Operating Theatre Journal.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2016. A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study. International Journal of Orthopaedic and Trauma Nursing, 23, 14-24.more information
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Wainwright, T., Branney, J., Dyall, S. and Middleton, R., 2016. What is the evidence for nutritional supplementation in a hip and knee replacement ERAS protocol? Clinical Nutrition ESPEN, 12.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2016. What is the role of occupational therapy in an Enhanced Recovery after Surgery (ERAS) protocol? Clinical Nutrition ESPEN, 12 (April), e58.more information
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Wainwright, T.W., Pollalis, A., IMMINS, T. and MIDDLETON, R.G., 2016. How long before routine next-day discharge for primary hip and knee replacement patients in the United Kingdom? Clinical Nutrition ESPEN.more information
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Wainwright, T.W., BRANNEY, J., DYALL, S. and MIDDLETON, R.G., 2016. What is the evidence for nutritional supplementation in a hip and knee replacement ERAS protocol? Clinical Nutrition ESPEN.more information
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Wainwright, T.W., Immins, T. and Middleton, R., 2016. An evaluation of a new education and cycling programme that aims to promote the self-management of hip osteoarthritis through education, advice and exercise. Osteoarthritis and Cartilage, 24 (1), S418.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2016. Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery. Best Practice and Research: Clinical Anaesthesiology, 30 (1), 91-102.more information
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Vaughan, N., Dubey, V.N., Wainwright, T.W. and Middleton, R.G., 2016. A review of virtual reality based training simulators for orthopaedic surgery. Medical Engineering and Physics, 38 (2), 59-71.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2016. Enhanced recovery after surgery: An opportunity to improve fractured neck of femur management. Annals of the Royal College of Surgeons of England, 98 (7), 500-506.more information
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Jassim, S.S., Patel, S., Wardle, N., Tahmassebi, J., Middleton, R., Shardlow, D.L., Stephen, A., Hutchinson, J. and Haddad, F.S., 2015. Five-year comparison of wear using Oxidised zirconium and cobalt-chrome femoral heads in total hip arthroplasty: A multicentre randomised controlled trial. Bone and Joint Journal, 97-B (7), 883-889.more information
Wainwright, T.W. and Middleton, R.G., 2015. What effect has the introduction of ERAS had on length of stay after total hip and knee replacement in the South West region of England? Canadian Journal of Anaesthesia, 62, 683-720.more information
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Wainwright, T.W. and Middleton, R.G., 2015. What is the potential effect on national bed capacity if ERAS was applied to all fractured neck of femur patients? Canadian Journal of Anaesthesia, 62, 683-720.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2015. A cycling and education programme to promote self-management and to increase functional ability in patients with osteoarthritis of the hip. Osteoarthritis and Cartilage, 23 (2), 372.more information
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Wainwright, T.W., Immins, T. and Middleton, R.G., 2015. Hip osteoarthritis: Patients with complex comorbidities can make exceptional improvements following intensive exercise and education. BMJ Case Reports, 2015.more information
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Jonas, S.C., Shah, R., Al-Hadithy, N., Norton, M.R., Sexton, S.A. and Middleton, R.G., 2015. Displaced intracapsular neck of femur fractures in the elderly: Bipolar hemiarthroplasty may be the treatment of choice; a case control study. Injury.more information
Ferguson, J., Middleton, R., Alvand, A. and Rees, J., 2015. Newly acquired arthroscopic skills: Are they transferable during simulator training of other joints? Knee Surgery, Sports Traumatology, Arthroscopy, 1-8.more information
Starks, I., Lloyd, J., Lewis, J., Wainwright and Middleton, R., 2014. Older patients have the most to gain from orthopaedic enhanced recovery programmes. Age and Aging.more information
Jones, E.L., Wainwright, T.W., Foster, J.D., Smith, J.R.A., Middleton, R.G. and Francis, N.K., 2014. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery. Annals of The Royal College of Surgeons of England, 96 (2), 89-94.more information
Thavarajah, D. and Middleton, R.G., 2014. Trocar site closure device: A fast, simple, and safe way to pass transosseous sutures for quadriceps tendon repair. Techniques in Orthopaedics, 29 (1), 37.more information
Lynch, J., Walker, R., Norton, M. and Middleton, R., 2014. ARE ROUTINE POST-OPERATIVE CHECK RADIOGRAPHS NECESSARY FOR PATIENTS UNDERGOING HEMIARTHROPLASTY FOR DISPLACED INTRACAPSULAR FRACTURED NECK OF FEMUR? Bone & Joint Journal Orthopaedic Proceedings, 96 (5), 10.more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 2013. The Hidden Costs of Metal-On-Metal Hip Resurfacing: and Logistical Implications of a Change in Hospital Follow-up Policy. The Bulletin of The Royal College of Surgeons of England.more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 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. , 45-51.more information
Jassim, S., Patel, S., Wardle, N., Tahmassebi, J., Middleton, R., Shardlow, D., Stephen, A., Hutchinson, J. and Haddad, F., 2013. Oxidized Zirconium Femoral Heads-a Multicentre Randomised Control Wear Analysis Study. Bone & Joint Journal Orthopaedic Proceedings Supplement, 95 (15), 186.more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 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, 45-51.more information
Howie, D.W., Holubowycz, O.T., Middleton, R. and Grp, L.A.S., 2012. Large Femoral Heads Decrease the Incidence of Dislocation After Total Hip Arthroplasty A Randomized Controlled Trial. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 94A (12), 1095-1102.more information
Lloyd, J.M., Wainwright, T. and Middleton, R.G., 2012. What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway? Ann R Coll Surg Engl, 94 (3), 148-151.more information
Lloyd, J., Lockhart, J., Sisak, K. and Middleton, R., 2012. Acute care: Optimising day of surgery admissions. Health Serv J, 122 (6295), 28-30.more information
Plakogiannis, C. and Middleton, R.G., 2012. Hip Resurfacing Arthroplasty. The Health service journal, 122 (6295), 28-30.more information
Darch, R., Swan, J., Wainwright, T. and Middleton, R., 2011. Is Knee Range of Movement on Discharge Important After Total Knee Replacement – A prospective audit based study. INDIAN J PHYSIOTHER OCCUP THER, 5 (3), 10-13.more information
Starks, I., Wainwright, T. and Middleton, R., 2011. Local Anaesthetic Infiltration in Joint Replacement Surgery: What Is Its Role in Enhanced Recovery? ISRN Anesthesiology, 2011.more information
Price, M., Wainwright, T. and Middleton, R., 2011. UNCEMENTED HIP REPLACEMENTS HAVE SIGNIFICANT ECONOMIC BENEFITS OVER CEMENTED HIPS. Journal of Bone & Joint Surgery, British Volume, 93-B, 89.more information
Plakogiannis, C., Theruvil, B., Sisak, K. and Middleton, R.G., 2011. 088 THE USE OF ULTRASONIC DEVICES AS AN ADJUNCT TO REVISION OF CEMENTED FEMORAL TOTAL HIP ARTHROPLASTY COMPONENTS. Journal of Bone & Joint Surgery, 93 (III), 353.more information
Holubowycz, O., Howie, D. and Middleton, R., 2011. Large articulations reduce early dislocation after hip replacement: a randomized controlled trial. Journal of Bone & Joint Surgery, 93 (III), 304.more information
Lyras, D., Konstantinos, K., George, G., George, M., Middleton, R., Richards, S., O’Conner, D. and George, A., 2011. Original research: Does a single application of prp alter the expression of igf-i in the early phase of tendon healing? The Journal of Foot and Ankle Surgery, 50, 276-282.more information
Odumala, A.O., Iqbal, M.R. and Middleton, R.G., 2010. Failure of Closed Reduction After Dislocation of Austin Moore Hemiarthroplasty: An Analysis of Risk Factors. A 6-Year Follow-Up Study. Journal of Arthroplasty, 25 (5), 781-784.more information
Wainwright, T. and Middleton, R., 2010. An orthopaedic enhanced recovery pathway. Current Anaesthesia and Critical Care, 21 (3), 114-120.more information
Vingerhoeds, B., Fick, D., Middleton, R., Olyslaegers, C. and Wainwright, T., 2010. A PATIENT-CENTRED PATHWAY DRAMATICALLY REDUCES LENGTH OF STAY AND IMPROVES OUTCOMES IN PRIMARY JOINT REPLACEMENT IN A SAFE WAY. Journal of Bone & Joint Surgery, British Volume, 92-B, 500.more information
Holubowycz, O., Howie, D., Group, T.L.A.S. and Middleton, R., 2010. IMPLANT-RELATED REVISION AFTER PRIMARY TOTAL HIP REPLACEMENT IN A RANDOMIZED TRIAL OF ARTICULATION SIZE. Journal of Bone & Joint Surgery, British Volume, 92-B, 518.more information
Craik, J.D., George, A., Richards, S. and Middleton, R., 2010. Dynamic hip screw fixation of fractures of the femoral neck—a useful technique for accurate positioning. Injury Extra, 41 (12), 204.more information
Olyslaegers, C. and Middleton, R., 2009. Re: “A Novel Technique for the Removal of Well-Fixed Cementless, Large-Diameter Metal-on-Metal Acetabular Components” by Olyslaegers et al. Journal of Arthroplasty, 24 (5), 829.more information
Olyslaegers, C. and Middleton, R., 2009. Untitled Reply. JOURNAL OF ARTHROPLASTY, 24 (1), 160.more information
Olyslaegers, C. and Middleton, R., 2009. Reply to Letter to the Editor “A Novel Technique for the Removal of Well-Fixed Cementless Large-Diameter, Metal-on-Metal Acetabular Components”. Journal of Arthroplasty, 24 (1), 160.more information
Olyslaegers, C., Wainwright, T.W. and Middleton, R.G., 2009. A PATIENT CENTRED PATHWAY DECREASES LENGTH OF STAY AND IMPROVES PATIENT SATISFACTION AFTER TOTAL HIP REPLACEMENT. Journal of Bone & Joint Surgery, British Volume, 91-B, 406.more information
Olyslaegers, C., Wainwright, T. and Middleton, R.G., 2008. A novel technique for the removal of well-fixed cementless, large-diameter metal-on-metal acetabular components. J Arthroplasty, 23 (7), 1071-1073.more information
Odumala, A.O., Iqbal, M.I. and Middleton, R.G., 2008. FAILURE OF AUSTIN MOORE HEMIARTHROPLASTY: IS FEMORAL MORPHOLOGY A RISK FACTOR? Journal of Bone & Joint Surgery, 90 (I), 9.more information
Middleton, R.G., Olyslaegers, C. and Wainwright, T.W., 2007. Computer Navigation: Improving Outcomes with Hard on Hard Bearings. Bioceramics and Alternative Bearings in Joint Arthroplasty, 341-343.more information
Sandhu, H.S., Middleton, R.G. and Serjeant, S.A., 2006. HIP RESURFACING WITH COMPUTER NAVIGATION: INITIAL EXPERIENCE AT THE ROYAL BOURNEMOUTH HOSPITAL, UK. Journal of Bone & Joint Surgery, 88 (I), 79.more information
Melton, J.T.K., Yates, P. and Middleton, R.G., 2006. Dislocation of the hip following valgus fixation of unstable pertrochanteric hip fractures: A complication. Injury Extra.more information
Melton, J., Yates, P., Sen, N. and Middleton, R., 2006. A technique to ease the application of TED stockings. The Operating Theatre Journal.more information
Yates, P., Serjeant, S., Rushforth, G. and Middleton, R., 2006. The relative cost of cemented and uncemented total hip arthroplasties. Journal of Arthroplasty, 21 (1), 102-105.more information
Howie, D.W., Middleton, R.G. and Costi, K., 1998. Loosening of matt and polished cemented femoral stems. Journal of Bone and Joint Surgery – Series B, 80 (4), 573-576.more information
Middleton, R.G., Howie, D.W., Costi, K. and Sharpe, P., 1998. Effects of design changes on cemented tapered femoral stem fixation. Clinical Orthopaedics and Related Research, 355, 47-56.more information
Rashad, S., Middleton, R.G., Hamlett, M., Chapman-Sheath, P. and Hollingdale, J., 1997. A simple technique for harvesting autogenous morcellized bone-graft during primary hip arthroplasty. The Journal of arthroplasty, 12 (6), 704-705.more information
Davies, B.L., Harris, S.L., Lin, W.J., Hibberd, R.D., Middleton, R. and Cobb, J.C., 1997. Active compliance in robotic surgery – the use of force control as a dynamic constraint. Proc Instn Mech Engrs, 211, 285-292.more information
Imamura, K., McKinnon, M., Middleton, R. and Black, N., 1997. Reliability of a co-morbidity measure: The index of Co-Existent Disease (ICED). Journal of Clinical Epidemiology, 50 (9), 1011-1016.more information
Middleton, R.G. and Bradnock, B., 1997. Removing Uncemented Femoral Stems. ORTHOPAEDICS International Edition, 5 (4), 264-266.more information
Middleton, R. and Bentley, G., 1996. Operating time for total hip arthroplasty. A comparison between the USA and England. J Bone Joint Surgery (Br), 78-B (Supp1).more information
Middleton, R.G., Pringle, J. and Bentley, G., 1996. Histological response of synovium to carbon fibre pads in the knee. J Bone Joint Surgery (Br), 78-B (Supp1).more information
Middleton, R.G. and Bradnock, B., 1996. Removing malleolar screws with ease. Injury, 27 (2), 149-150.more information
Middleton, R.G., Reilly, D.T. and Jessop, J., 1996. Occlusion of the external iliac vein by cement. The Journal of arthroplasty, 11 (3), 346-347.more information
Middleton, R. and Ferris, B., 1996. The influence of osteoarthritis on the pattern of proximal femoral fractures. Clinical Orthopaedics and Related Research, 324, 214-216.more information
Middleton, R., McNab, Hashemi-Najd, A. and Noordeen, M.H.H., 1995. Multiple guide wire technique for removal of the short distal fragment of a fractured intramedullary nail. Injury, 26 (8), 531-532.more information
Middleton, R., Wilson, A.P.R. and Edgar, M.A., 1994. Laminal osteomyelitis caused by moraxella osloensis. Neuro-Orthopaedics, 16 (2).more information
Chapters
Plakogiannis, C. and Middleton, R.G., 2013. Hip resurfacing arthroplasty. Practical Procedures in Elective Orthopaedic Surgery: Pelvis and Lower Extremity. 61-66.more information
Lloyd, J., Starks, I., Wainwright, T.W. and 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.more information
Middleton, R., Olyslaegers, C. and Wainwright, T., 2007. Computer Navigation. Improving Outcomes with Hard on Hard Bearings. Bioceramics and alternatives bearings in joint arthroplasty. In: Chang, J.-D. and Billau, K., eds. Bioceramics and Alternative Bearings in Joint Arthroplasty. Steinkopff Darmstadt, 341-343.more information
Conferences
Aung, M., Obakponovwe, O., Raymond, A., Apostolidis, K., Bahadori, S., Wainwright, T.W. and 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 October 2020 Virtual.more information
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Vaughan, N., Dubey, V.N., Wainwright, T.W. and Middleton, R.G., 2015. Can virtual-reality simulators assess experience and skill level of orthopaedic surgeons? 105-108.more information
Vaughan, N., Dubey, V.N., Wainwright, T.W. and Middleton, R.G., 2015. Does virtual-reality training on orthopaedic simulators improve performance in the operating room? 51-54.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 27 March 2014 Perth, Australia.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 24 March 2014 Melbourne, Australia.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 21 March 2014 Adelaide, Australia.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 19 March 2014 Sydney, Australia.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 18 March 2014 Brisbane, Australia.more information
Wainwright, T. and Middleton, R., 2014. Osteoarthritis and Hip and Knee Replacement. In: Change Champions Masterclass 2014 Series 17 March 2014 Auckland, New Zealand.more information
Wainwright, T. and Middleton, R., 2012. Orthopaedic Enhanced Recovery. In: Change Champions Masterclass 2012 Series 5 March 2012 Auckland, New Zealand..more information
Holubowycz, O., Howie, D., Middleton, R. and The Large Articulation Study Group, 2009. 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.more information
Holubowycz, O.T., Howie, D.W., Middleton, R. and The Large Articulation Study Group, 2009. Large articulations reduce early dislocation after total hip replacement. A randomized controlled trial. In: 10th EFORT Congress 2009 Vienna, Austria.more information
Holubowycz, O.T., Howie, D.W. and Middleton, R., 2009. Implant related revision after primary total hip replacement in a randomised trial of articulation size. In: 10th EFORT Congress 2009 Vienna, Austria.more information
Howie, D.W., Holubowycz, O.T., Middleton, R. and The Large Articulation Study Group, 2009. Large articulations reduce early dislocation after hip replacement. A randomised controlled trial. In: American Academy of Orthopaedic Surgeons. Annual Meeting 2009 Las Vagas, USA.more information
Wainwright, T. and Middleton, R., 2008. Effective clinical leadership galvanizes different professional groups and improves patient outcomes and experience. In: Leadership and Practice Development in Health Conference 1 November 2008 Hobart, Australia..more information
Wainwright, T., Middleton, R., Olyslaegers, C. and 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 19-22 October 2008 Copenhagen, Denmark..more information
Wainwright, T., Middleton, R., Olyslaegers, C., Vingerhoeds, B. and 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 1 June 2008 Athens, Greece..more information
Olyslaegers, C., Wainwright, T. and 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 27-29 February 2008 Norwich.more information
Middleton, R.G., Olyslaegers, C. and Wainwright, T.W., 2007. Computer navigation: Improving outcomes with hard on hard bearings. 341-343.more information
Middleton, R.G., 2006. Navigated Hip Resurfacing. The Early Experience. In: The London Hip Meeting 2006 8 May 2006 London.more information
Middleton, R.G., 2006. Navigation Applied to Resurfacing. In: Hip Resurfacing State of the Art Surgical Strategies 18 March 2006 Rome, Italy.more information
Sandhu, H.S., Middleton, R.G., Wainwright, T.W. and Serjeant, S.A., 2005. Durom hip resurfacing with Medtronic computer navigation – Initial experience. In: 5th Annual CAOS Conference 2005 Helsinki, Finland.more information
Sandhu, H.S., Middleton, R.G. and Serjeant, S.A., 2005. Hip Resurfacing with Computer Navigation : Initial experience at the Royal Bournemouth Hospital. In: 7th Annual EFOT Congress 2005 Lisbon.more information
Middleton, R.G., 2004. Which Bearing. In: Future and Outcomes for the Younger Patient 3-4 September 2004 Gleneagles, Scotland.more information
Middleton, R.G., 2003. Cemented Hips. In: Core Skills in Operative Orthopaedic Surgery, Royal College of Surgeons of England 25-27 February 2003 UK.more information
Middleton, R.G., 2003. Polished Tapered Stems. In: Annual Vail Orthopaedic Symposium 20-24 January 2003 UK.more information
Middleton, R.G., 2003. Cemented MIS. In: Future and Outcomes in Minimally Invasive Arthroplasty 7 September 2003 Gleneagles, Scotland.more information
Middleton, R.G., Howie, D.W., Costi, K. and Sharpe, P., 1998. Effects of design changes on cemented tapered femoral stem fixation. 47-56.more information
Middleton, R.G., 1998. Effects on Cemented Femoral Fixation of Changes to stem design. In: Australian Orthopaedic SA Branch Meeting 1998 Adelaide, Australia.more information
Middleton, R.G., 1997. Operating Time for Primary Total Hip Arthroplasty. In: EFOT 1997 Barcelona, Spain.more information
Middleton, R.G., 1997. Corralling Loose Bodies in the Knee. In: EFOT 1997 Barcelona, Spain.more information
Harris, S.J., Lin, W.J., Fan, K.L., Hibberd, R.D., Cobb, J., Middleton, R. and Davies, B.L., 1997. Experiences with robotic systems for knee surgery. Springer, 757-766.more information
Middleton, R.G., 1996. The influence of osteoarthritis on the pattern of proximal femoral fractures. In: Royal Society of Medicine Summer Meeting June 1996 UK.more information
Middleton, R.G., 1996. Modern Imaging of Thoracicolumbar Fractures. In: The Royal Society of MedicineMay 1996 UK.more information
Middleton, R.G., 1996. Operating time for primary total hip Arthroplasty. In: SIROT 1996 Amsterdam.more information
Middleton, R.G., 1996. The influence of osteoarthritis on the pattern of proximal femoral fractures. In: SIROT 1996 Amsterdam.more information
Middleton, R.G., 1996. Histological response of synovium to carbon fibre pads in the knee. In: SIROT 1996 Amsterdam.more information
Middleton, R.G., 1995. Removing uncemented femoral stems. In: British Orthopaedic Association Annual Meeting September 1995 UK.more information
Middleton, R.G., 1995. Removing malleolar screws with ease. In: British Orthopaedic Association Annual Meeting September 1995 UK.more information
Middleton, R.G., 1995. Multiple guide wire technique for the removal of the short distal fragment of a fractured intramedullary nail. In: British Orthopaedic Association Annual Meeting September 1995 UK.more information
Middleton, R.G., 1995. Operating time for total hip arthroplasty. A comparison between the USA and England. In: British Orthopaedic Association Annual Meeting September 1995 UK.more information
Middleton, R.G., 1995. Histological response of synovium to carbon fibre pads in the knee. In: British Orthopaedic Association Annual Meeting September 1995 UK.more information
Middleton, R.G., 1995. British Surgeons are faster surgeons. In: The Seddon Society annual meeting June 1995 Stanmore.more information
Middleton, R.G., 1995. MRI in low back pain, an audit. In: North West Thames Orthopaedic Club May 1995 UK.more information
Posters
Wainwright, T., Burgess, L., Immins, T. and Middleton, R., 2020. An evaluation of a cycling and education programme for patients referred to secondary care for surgical opinion of hip osteoarthritis. In: OARSI World Congress 2020.more information
view in BU repository
Wainwright, T., Burgess, L., Immins, T. and Middleton, R., 2019. Mid-term follow up and analysis of the subsequent need for hip replacement following completion of the CHAIN (Cycling Against Hip Pain) programme. In: OARSI 2019 World Congress on Osteoarthritis, Toronto.more information
view in BU repository
Sisak, K., Darch, R., Wainwright, T., Burgess, L. and Middleton, R., 2019. Attendance to a Preoperative Education Session as part of an Enhanced Recovery Pathway for Total Hip and Knee Replacement. In: 7th World ERAS Congress.more information
view in BU repository
Wainwright, T.W., Burgess, L.C. and Middleton, R.G., 2019. Does Neuromuscular Electrical Stimulation Improve Recovery Following Acute Ankle Sprain? A Pilot Randomised Controlled Trial.more information
Bahadori, S., Newman, S., Gulati, V., Wainwright, T., Immins, T. and Middleton, R., 2018. Face And Content Validation Of The Sim-K Haptic-Feedback Enhanced Total Knee Replacement Virtual Reality Simulator. In: 19th EFORT Congress 2018.more information
Gulati, V., Newman, S., Uzoigwe, C., Wainwright, T. and Middleton, R., 2017. Peri-operative management of fracture neck of femur patients on anti-coagulant or anti-thrombotic medication. In: EFORT Congress.more information
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Branney, J., Dyall, S., Wainwright and Middleton, R., 2016. A review of the literature related to the role of nutritional supplementation in an enhanced recovery pathway for hip and knee replacement. In: RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition.more information
Wainwright, T., Immins, T. and Middleton, R.G., 2016. The case for applying enhanced recovery after surgery to fractured neck of femur. In: 17th EFORT Annual Congress.more information
Wainwright, T.W., Pollalis, A., Immins, T. and Middleton, R.G., 2016. How long before routine next-day discharge for primary hip and knee replacement patients in the UK? In: World Congress of Enhanced Recovery after Surgery.more information
Wainwright, T., Branney, J., Dyall, S. and Middleton, R., 2016. What is the evidence for nutritional supplementation in a hip and knee replacement ERAS protocol. In: World Congress of Enhanced Recovery After Surgery.more information
Wainwright, T., Immins, T. and Middleton, R.G., 2016. What is the role of occupational therapy in an enhanced recovery after surgery (ERAS) protocol? In: World Congress of Enhanced Recovery After Surgery.more information
Wainwright, T.W., Immins, K. and Middleton, R.G., 2016. An evaluation of a new education and cycling programme that aims to promote the self-management of hip osteoarthritis through education, advice and exercise. In: Osteoarthritis Research Society International (OARSI) World Congress on Osteoarthritis.more information
view in BU repository
Wainwright, T.W., Immins, T., Pollalis, A. and Middleton, R.G., 2015. Oxford Hip Score: A comparison of best and worst performing hopsitals. In: 16TH EFORT Congress 2015.more information
Wainwright, T.W. and Middleton, R.G., 2015. WHAT EFFECT HAS THE INTRODUCTION OF ERAS HAD ON LENGTH OF STAY AFTER TOTAL HIP AND KNEE REPLACEMENT IN THE SOUTH WEST REGION OF ENGLAND? In: World Congress of Enhanced Recovery After Surgery and Perioperative Medicine.more information
Wainwright, T.W. and Middleton, R.G., 2015. WHAT IS THE POTENTIAL EFFECT ON NATIONAL BED CAPACITY IF ERAS WAS APPLIED TO ALL FRACTURED NECK OF FEMUR PATIENTS? In: World Congress of Enhanced Recovery After Surgery and Perioperative Medicine.more information
Wainwright, Immins, T. and Middleton, R.G., 2015. A cycling and education programme to promote self-management and to increase functional ability in patients with osteoarthritis of the hip. In: OARSI 2015 World Congress.more information
Wainwright, T.W., Immins, T. and Middleton, R.G., 2015. Oxford Knee Score: A comparison of best and worst performing hospitals. In: 2015 BASK Annual Spring Meeting.more information
Wainwright and Middleton, R., 2014. Evaluating the effect of the geko™device against TED stockings on post-operative oedema in a total hip replacement enhanced recovery pathway – a randomised controlled trial. In: 4th ERAS UK conference.more information
Wainwright, Immins, T. and Middleton, R., 2014. Introducing the principles of enhanced recovery to a fractured neck of femur pathway – 5 year results and experience. In: 4th ERAS UK Conference.more information
Wainwright, Immins, T. and Middleton, R., 2014. The National Effect of applying Enhanced Recovery principles to fractured neck of femur patients. In: 4th ERAS UK conference.more information
Wainwright, Immins, T. and Middleton, R., 2014. A randomised-controlled-trial comparing the effect of the geko device and TED stockings on post-operative oedema in Total Hip Replacement patients. In: Physiotherapy UK.more information
Wainwright, Immins, T. and Middleton, R., 2014. A service evaluation of a cycling and education programme for the treatment of hip osteoarthritis. In: Physiotherapy UK.more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 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.more information
Jones, E.L., Wainwright, T., Francis, N.K. and Middleton, R.G., 2012. A literature review: the impact of enhanced recovery after surgery on patient experience in orthopaedics. In: 1st ERAS Congress.more information
Lloyd, J., Barbaselu, M., Wainwright, T., Plakogiannis, C. and Middleton, R., 2012. Enhanced Recovery in Total Knee Replacement: To tourniquet on not to tourniquet. In: Enhanced Recovery after Surgery Conference. Hosted by the Royal College of Surgeons Welsh Professional Practice Affairs Board..more information
Lloyd, J., Wainwright, T., Lockhart, J., Sisak, K. and Middleton, R., 2012. Enhanced Recovery in Trauma: Day of surgery admissions and how they improve effeciency. In: Enhanced Recovery after Surgery Conference. Hosted by the Royal College of Surgeons Welsh Professional Practice Affairs Board..more information
Lloyd, J., Wainwright, T. and Middleton, R., 2012. Enhanced recovery in hip and knee arthroplasty: The role of minimally invasive surgery. In: 13th EFORT Congress 2012..more information
Starks, I., Wainwright, T., Lloyd, J. and Middleton, R., 2012. Enhanced Recovery Pathways Save Lives. In: 13th EFORT Congress.more information
Wainwright, T. and Middleton, R., 2012. Enhanced Recovery after Surgery. Improving quality in every dimension: An orthopaedic example. In: International Forum for Quality and Safety in Healthcare..more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 2012. The cost of implementing the new BOA/BHS resurfacing surveillance guidelines in England and Wales. In: The British Hip Society Annual Meeting.more information
Lloyd, J., Starks, I., Wainwright, T. and Middleton, R., 2012. The hidden costs of metal on metal hips: The financial and logistical implications of changing hospital follow up. In: The British Hip Society Annual Meeting.more information
Starks, I., Wainwright, T. and Middleton, R., 2011. Enhanced Recovery Pathways Save Lives. In: 1st UK Conference on Enhanced Recovery.more information
Wainwright and Middleton, R., 2011. In a high volume orthopaedic unit, managing natural variability and utilising the theory of constraints improves surgical throughput. In: International Forum on Quality and Safety in Health Care.more information
Wainwright and Middleton, R., 2011. Removing artificial variability from a physiotherapy service helps to reduce length of stay in an orthopaedic pathway. In: International Forum on Quality and Safety in Health Care.more information
Wainwright, Ferrieira, M. and Middleton, R., 2011. A rapid improvement program. How to standardise a joint replacement pathway across 10 hospitals in 6 months. In: International Forum on Quality and Safety in Health Care.more information
Wainwright, T., Price, M. and Middleton, R., 2010. Uncemented hip replacements have significant economic benefits over cemented hips. In: 11th EFFORT Congress.more information
Wainwright and Middleton, R., 2010. An enhanced recovery surgical pathway for hip and knee replacement – How to use Dr Foster software to evaluate success. In: International Forum on Quality and Safety in Health Care.more information
Vingerhoeds, B., Wainwright, T., Fick, D., Olyslaegers, C. and Middleton, R., 2009. A patient-centred pathway dramatically reduces length of stay and improves outcomes in primary joint replacement in a safe way. In: 10th EFFORT Congress.more information
Wainwright, Olyslaegers, C. and Middleton, R., 2009. Utilising guidance from the NHS Institute for Innovation and Improvement can help to make dramatic improvements to a hip and knee replacement pathway. In: The International Forum on Quality and Safety in Health Care.more information
Wainwright, T., Swan, J., Olyslaegers, C. and Middleton, R., 2008. A standardised analgesic ladder can reduce pain and facilitate accelerated rehabilitation after knee replacement. In: Chartered Society of Physiotherapy Annual Conference.more information
Wainwright, T., Olyslaegers, C., Vingerhoeds, B. and Middleton, R., 2008. Achieving Rapid Change in Orthopaedics. In: The International Forum on Quality and Safety in Health Care.more information
Edwards, S., Serjeant, S., Middleton, R., Wainwright, T., Yates, P. and Olyslaegers, C., 2007. Hip Arthroplasty. Can they interfere with airport security systems? In: 8th EFORT Congress.more information
Wainwright, T., Middleton, R., Edwards, S. and Serjeant, S., 2006. Fluoroscopic image guided vs imageless navigation in hip resurfacing. In: 6th Annual Meeting of CAOS..more information
Edwards, S., Wainwright, T., Middleton, R. and Serjeant, S., 2006. Navigated hip resurfacing – A trainee’s perspective. In: 6th Annual Meeting of CAOS..more information
Edwards, S., Middleton, R., Wainwright, T. and Serjeant, S., 2006. Pins and Things – Navigated hip resurfacing. In: 6th Annual Meeting of CAOS..more information
Wainwright, T., Middleton, R., Serjeant, S. and Edwards, S., 2006. The clinical application of using computer navigation in the hip resurfacing procedure – A question of cost? In: 6th Annual Meeting of CAOS

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