Mr Scott Middleton

Mr Scott Middleton

Consultant Orthopaedic Surgeon

MB ChB, FRCS Ed (Tr&Orth)

Specialises in

  • Foot surgery
  • Ankle surgery
  • Sports injuries
  • Trauma surgery
  • Keyhole surgery

I am a Consultant Orthopaedic Surgeon with a specialist interest in foot and ankle surgery. I deal with all aspects of foot and ankle problems ranging from bunion correction and neuroma surgery, to foot and ankle fusions and management of deformity. I have expertise in treating arthritis and sports injuries in the foot and ankle, as well as surgical and non-surgical solutions for Achilles and plantar fascia problems.

After completing my surgical training in Edinburgh, I undertook one year of specialist fellowship training at the Vancouver General Hospital in Canada. Following this I was appointed as a Consultant Orthopaedic Surgeon in NHS Fife where I treat complex foot and ankle problems.

I am an Honorary Clinical Senior Lecturer at the University of Edinburgh and the Head of Education for EduSurg Ltd. I was the co-author of a textbook titled ‘Trauma Vivas for the FRCS’, and co-authored a chapter in ‘The Oxford Textbook of the Fundamentals of Surgery’.

I am also a Tutor for the Master of Surgery in Trauma and Orthopaedics at the Royal College of Surgeons of Edinburgh, where I also sit on the Board of Examiners. As a surgical trainer in the NHS, I am a Clinical Supervisor for the South-East Scotland Orthopaedic Surgical Training Programme.


General Medical Council Number: C7041330

Treatment information

Some of the principal treatments carried out by Mr Scott Middleton at Spire include:

Other treatments

  • Arthritis of the foot and ankle
  • Flatfoot surgery
  • Fusion surgery of the forefoot/midfoot/hindfoot
  • Ganglion and neuroma surgery
  • Ligament surgery
  • Tendon surgery

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Additional information

Orthopaedic surgery
Ankle surgery
Foot surgery
Soft tissue injuries
Sports medicine

Special clinical interests: Keyhole surgery, Minimally invasive surgery, Bunion surgery, Ganglion surgery, Ankle ligament surgery, Flatfoot surgery.

Professional memberships

Royal College of Surgeons of Edinburgh (RCSEd)

British Orthopaedic Foot and Ankle Society (BOFAS)

  • Mason LW, Malhotra K, Houchen-Wollof L, Mangwani J; UK FAlCoN Audit Collaborative. The UK foot and ankle COVID-19 national (FAlCoN) audit - Regional variations in COVID-19 infection and national foot and ankle surgical activity. Foot and Ankle Surgery. 2022 Feb;28(2):205-216
  • Middleton SD, Broekhuyse HM, Guy P, O’Brien PJ, Lefaivre KA. Long term trajectory of recovery following pilon fracture fixation. Journal of Orthopaedic Trauma. 2022 Jun 1;36(6):e250-e254
  • Mangwani J, Malhotra K, Houchen-Wolloff L, Mason L; UK FAICoN Audit Collaborative. The UK Foot and Ankle COVID-19 National (FAlCoN) audit. Bone and Joint Open. 2021 Apr;2(4):216-226.
  • Baxendale-Smith L, McKinley J, Middleton SD. Consent in Forefoot Surgery: What Does it Mean to the Patient? The Foot. 2020 Dec;45:101741
  • Stirling PS, Middleton SD, Latto R, Brenkel IJ, Walmsley PJ. Revision Total Knee Replacement Versus Primary Total Knee Replacement: a Matched Cohort Study. Bone and Joint Open. 2020 Oct 27;1(3):29-34
  • Eseonu KC, Middleton SD, Subramanian AS. Paraplegia secondary to plasmacytoma of the lumbar spine. International Journal of Spine Surgery. 2020 Aug;14(4):559-562
  • Evans D, Hardman J, Middleton SD, Anakwe RE. Developing a virtual fracture clinic for hand and wrist injuries. Journal of Hand Surgery (European Volume). 2018 Oct;43(8):893-894
  • Middleton SD, McNiven N, Anakwe RE, Jenkins PJ, Aitken SA, Keating JF, Moran M. Medium-Term Patient-Reported Outcomes After Total Hip Replacement for Displaced Hip Fractures. European Journal of Orthopaedic Surgery and Traumatology. 2017 Oct;27(7):917-921
  • Middleton SD, Wagner R, Gibson JNA. Multi-level spine endoscopy: A review of available evidence and case report. EFORT Open Rev. 2017 Jul 12;2(7):317-323
  • Middleton SD, Anakwe RE. Orthopaedic hand disorders: a Primary Care perspective. Clinical Focus Primary Care. 2016 Dec;10(2):73-82
  • Anakwe RE, Middleton SD, Bugler K, Aitken SA, McQueen MM, Court-Brown CM. Open finger fractures: patterns of injury and epidemiology. The Journal of Hand Surgery (Asian-Pacific). 2016 Oct;21(3):352-6.
  • Middleton SD, McNiven N, Griffin EJ, Anakwe RE, Oliver CW. Long-term patient reported outcomes following Bennett’s fractures. The Bone and Joint Journal. July 2015 97-B: 1004-1006.
  • Middleton SD, Anakwe RE. Cubital Tunnel syndrome. Canadian Medical Association Journal. 2015 May 19;187(8):593-5
  • Middleton SD, Anakwe RE. Carpal Tunnel syndrome. British Medical Journal. 2014 Nov;349:g6437: 27-32
  • Cape E, Hall RJ, van Munster BC, de Vries A, Howie SE, Pearson A, Middleton SD, Gillies F, Armstrong IR, White TO, Cunningham C, de Rooij SE, MacLullich AM. Cerebrospinal fluid markers of neuroinflammation in delirium: A role for interleukin-1β in delirium after hip fracture. Journal of Psychosomatic Research. 2014 Sep;77(3):219-25.
  • Middleton SD, Jenkins PJ, Muir AY, Anakwe RE, McEachan JE. Variability in Local Pressures Under Digital Tourniquets. Journal of Hand Surgery (European Volume) 2013 Jun 3;39(6):637-641
  • Anakwe RE, Middleton SD, Beresford-Cleary NJ, McEachan JE, Talwalker SC. Preventing venous thromboembolism in elective upper limb surgery. J Shoulder Elbow Surg. 2013 Mar;22(3):432-8
  • Anakwe RE, Middleton SD, Hayton MJ. A modified dorsal capsulotomy for improved radiocarpal exposure. J Hand Surg Eur Vol. 2013 Sep;38(7):805-6
  • Anakwe RE, Middleton SD Jenkins PJ, Butler AP, Aitken SA, Keating JF, Moran M. Total hip replacement in hip fracture patients: a matched cohort study. J Trauma Acute Care Surg. 2012 Sep;73(3):738-42
  • Anakwe RE, Middleton SD. Osteoarthritis of the base of the thumb. British Medical Journal 2011;343:1160-1166
  • Anakwe RE, Middleton SD, Jenkins PJ, McQueen MM, Court-Brown CM. Patient-Reported Outcomes After Simple Dislocation of the Elbow. J Bone Joint Surg Am. 2011 Jul 6;93(13):1220-6
  • Middleton SD, Anakwe RE, McKinley J. Black Bone Disease of the Foot. Minocycline Related Pigmentation. Foot and Ankle Surgery 2011;17(2):e34-6.
  • Anakwe RE, Middleton SD, Thomson CE, McKinley J. Hemiarthroplasty Augmented with Bone Graft For The Failed Hallux Metatarsophalangeal Silastic® Implant. Foot and Ankle Surgery 2011;17(3):e43-6.
  • Anakwe RE, Aitken SA, Cowie JG, Middleton SD, Court-Brown CM. The epidemiology of fractures of the hand and the influence of social deprivation. Journal of Hand Surgery (European Volume) 2011; 36(1):62-5.
  • MacLullich AMJ, Endelshain BT, Hall RJ, de Vries A, Howie SEM, Pearson A, Middleton SD, Gillies F, Armstrong IR, White TO, Cunningham C, de Rooij SE, van Munster BC. Cerebrospinal fluid interleukin-8 levels are higher in hip fracture patients with peri-operative delirium versus controls. Journal of the American Geriatrics Society 2011 Jun;59(6):1151-1153.
  • Eseonu KC, Middleton SD, Eseonu CC. A Retrospective Study of Risk Factors for Poor Outcomes in Methicillin-Resistant Staphylococcus Aureus (MRSA) Infection in Surgical Patients. Journal of Orthopaedic Surgery and Research 2010;6(1):25-31.
  • Pearson A, de Vries A, Middleton SD, Gillies F, White TO, Armstrong IR, Andrew R, Seckl JR, MacLullich AMJ. Cerebrospinal fluid cortisol levels are higher in patients with delirium versus controls. BMC Research Notes 2010;3:1151-1153.
  • Eseonu K, Garnett C, Middleton SD, Okolo I, Amati F.  'Back to School'- medical students providing life-support training in schools. The Clinical Teacher 2009; 6: 201-204.

Consultant Orthopaedic Surgeon, NHS Fife

Honorary Clinical Senior Lecturer, University of Edinburgh

I live in the West End of Edinburgh with my wife and two Border Collies. I represented Scotland at Squash, but my main interests outside of work now are skiing and golf, as a member of the Royal Burgess Golfing Society. I enjoy travelling abroad and hillwalking all over Scotland.