Consultant Orthopaedic Surgeon Mr Karan Malhotra

Mr Karan Malhotra

Consultant Orthopaedic Foot & Ankle Surgeon, Honorary Associate Professor

MBChB (Honours), MRCS, FRCS (Trauma & Orthopaedics)

Karan Malhotra has a complex, tertiary practice, which means that he is an expert at managing all adult foot and ankle conditions (both straightforward and complex). Whether you have arthritis, sporting injuries, or a neuromuscular condition, Mr Malhotra believes that it is of utmost importance for patients to be actively involved in their care, and for each patient to have bespoke treatment, designed around their specific circumstances

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Specialities

Cartilage Repair & Regeneration Foot & Ankle Surgery Sports Medicine

Biography

Mr Karan Malhotra

Mr Karan Malhotra is a Consultant Orthopaedic Foot and Ankle Specialist. He graduated from the University of Manchester, with his orthopaedic training in Yorkshire and London. He has completed an international fellowship in Australia and a visiting fellowship Singapore. Mr Malhotra specialises exclusively in foot and ankle problems.

Mr Karan Malhotra is dedicated to ensuring his patients receive the very best care, involving them in their care and decision making. He ensures patients are given a balanced and honest opinion of all surgical and non-surgical options available to them and takes time to make sure that they can understand these options.

RNOH Private Care

At RNOH Private Care, Mr Malhotra will see a number of conditions within the field of Foot and Ankle conditions.

Professional Roles

Mr Malhotra is passionate about research and is an Honorary Associate Professor with University College London. He is actively involved in cutting edge research into novel methods of treating arthritis, deformity correction, treatment of neuromuscular disorders, and into methods for assessing foot and ankle conditions. He is widely published and his work has won numerous national and international prizes.

Mr Malhotra is fully committed to quality improvement, improving patient outcomes, and educational activities. He has led on two national projects looking at outcomes of foot and ankle patients across the UK and is regularly teaches on courses and at local and national levels. He is actively involved with the British Orthopaedic Foot & Ankle Society where he is a Committee Chair and a Council Member.

Treatments

  • Ankle arthritis and deformity
  • Ankle arthroscopy
  • Ankle replacements
  • Flat feet deformity and tibialis posterior tendon dysfunction
  • Forefoot deformity (including bunions, arthritis and lesser toes)
  • Hindfoot arthritis and deformity
  • Midfoot arthritis and deformity
  • Neuromuscular feet (including Charcot Marie Tooth)
  • Osteochondral/cartilage defects
  • Plantar fasciitis
  • Sports and dance injuries
  • Tendon disorders
  • Treatment of pes cavus (high-arched feet)

Approval

The information on this page has been approved by: Mr Karan Malhotra

Connect:   View Research Gate   View Karan Malhotra Website   View Top Doctors   View Google Scholar  

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Further information

01Insurers that Mr Malhotra is registered with

AXA

Bupa

Aviva

Vitality

WPA

Healix

02Experience

18+ Years

03Languages Spoken

English

Hindi

04Qualifications

Exams & Qualifications

Certificate of Completion of Training in Trauma & Orthopaedics (CCT) (Obtained August 2018)
Joint Commission of Surgical Training, UK

FRCS (Trauma & Orthopaedics) (Part 1 – February 2017, Part 2 – May 2017)
Royal College of Surgeons, England

Intercollegiate MRCS (Part A – January 2009, Part B – October 2010)
Royal College of Surgeons, England

Medicine – MBChB (Honours) (2002 – 2007)
University of Manchester, UK

05Memberships

Fellow of the Royal College of Surgeons

British Medical Association (BMA)

General Medical Council (GMC)

British Orthopaedic Foot and Ankle Society (BOFAS)

06Fellowships

Fellow in Foot & Ankle Surgery (Sep’19 – Mar’20)
Institution: Royal National Orthopaedic Hospital (Brockley Hill, Stanmore, HA7 4LP, UK)
Supervisors: Dishan Singh, Nick Cullen, Matt Welck

Fellow in Foot & Ankle Surgery (Feb’19 – Jul’19)
Hospital: Melbourne Orthopaedic Group (33 The Avenue, Windsor, VIC 3181, Australia)
Supervisors: Tim Schneider, David Shepherd, Paul Rice

Visiting Fellow in Trauma & Orthopaedics (Jan’19)
Hospital: Ng Teng Fong General Hospital (1 Jurong East St 21, 609606, Singapore)
Supervisor: Christopher Pearce

07Published Work & Articles

Foot & Ankle Related Publications

01. Mangwani J, Houchen-Wolloff L, Teece L, Booth S, Malhotra K, Mason L, UK-FATE Collaborative. UK Foot
and Ankle Thrombo-Embolism (UK-FATE): A Multicentre Prospective Study of Venous Thromboembolism in Foot and Ankle Surgery. Bone Joint J (accepted)
02. Clough T, Jamjoom B, Jagani N, Quarcoopome J, Kakwani R, Townshend D, Cullen N, Patel S, Malhotra K,
Welck M. Morselized Femoral Head Impaction Bone Grafting of Large Defects in Ankle and Hindfoot
Fusions. Foot Ankle Int. 2025 Jan 27:10711007241310411. (Epub) PMID: 39868573
03. Mason L, Houchen-Wolloff L, Teece L, Booth S, Malhotra K, Mangwani J. UK-FATE Collaborative. The Variation of Anticoagulation Prescribed in Foot and Ankle Surgery in the UK – UK Foot and Ankle Thrombo-Embolism Audit (UK-FATE). Foot Ankle Surg 2025 Jan;31(1):38-43 [PMID: 38944567]
04. Ardakani A, Rudran B, Stringer H, Welck M, Mason L, Malhotra K. The position, orientation, and relative
size of the fibularis longus tubercle in normal patients: A weightbearing CT assessment. Clin Anat 2024
Nov;37(8):900-909 [PMID: 38475986]
05. Malhotra K, Houchen-Wolloff L, Mason L, Mangwani J. UK-FATE Collaborative Characteristics of patients
not receiving chemical thromboprophylaxis following foot and ankle surgery – Data from the multicentre,
prospective UK Foot and Ankle Thrombo-Embolism Audit (UK-FATE). Foot Ankle Intl 2024 Sep;45(9):943-
949 [PMID: 38872313]
06. Malhotra K, Patel S, Culen N, Welck M. Forefoot Morphotypes in Cavovarus Feet – A Novel Assessment of
Deformity. Foot Ankle Intl 2024 Jul;45(7):746-756 [PMID: 38618692]
07. Malhotra K, Patel S, Cullen N, Welck M. Classifications in adult pes cavus – a scoping review. Foot 2024
Jun; 59:102098 (E-pub) [PMID: 38678805]
08. Malhotra K, Colta C, Jani P, Haldar A, Patel S, Welck M, Cullen N. Talar neck rotation angle in adults with
clubfoot deformity: observed values and intra and inter-observer reliability using weight-bearing CT. Foot
Ankle Surgery 2024 Apr;30(3):263-267 [PMID: 38216337]
09. Najefi A, Cullen N, Patel S, Malhotra K, Welck M. First Metatarsal Rotation after Scarf Osteotomy for Hallux
Valgus. Foot Ankle Spec 2023:Apr (e-pub) [PMID: 37243475]
10. Turmezei T, Malhotra K, Welck M. 3-D Joint Space Mapping at the Ankle from Weight-bearing CT: Reproducibility, repeatability, and challenges for standardisation. Eur Radiol 2023;33(11):8333-8342 [PMID:
37256354]
11. Barnett J, Rudran B, Khan A, Patel S, Malhotra K, Cullen N, Welck M, Aston W. Outcomes of Tenosynovial Giant Cell Tumour of the Foot and Ankle. Foot Ankle International 2023;44(10):1013-1020 [PMID:
37644900]
12. Ranjit S, Sangoi D, Cullen N, Patel S, Welck M, Malhotra K. Assessing the Coronal Plane Deformity in Charcot
Marie Tooth Cavovarus Feet using 3D Automatic Software. Foot Ankle Surg 2023;29(7):511-517 PMID:
8
36872207]
13. Zaidi R, Sangoi D, Cullen N, Patel S, Welck M, Malhotra K. Semi-automated 3-dimensional analysis of the
normal foot and ankle using weight-bearing CT – a report of normal values and bony relationships. Foot
Ankle Surg 2023;29(2):111-117 [PMID: 36522235]
14. Malhotra K, Mason L, Houchen-Wolloff L, Mangwani J. Rate of COVID-19 infection and 30 day mortality between Blue and Green (Dedicated COVID-19 safe) pathways: Results from Phase 1 and 2 of the
UK Foot and Ankle COVID-19 National (UK-FAlCoN) Audit. Foot Ankle Surg 2022; 28(7):1055-63 [PMID:
35256273]
15. Sangoi D, Ranjit S, Bernasconi A, Patel S, Cullen N, Welck M, Malhotra K. 2D manual versus 3D automated
assessment of alignment in normal & Charcot-Marie-Tooth cavovarus feet using weightbearing CT. Foot
Ankle Int 2022;43(7):973-82 [PMID: 35403476]
16. Duff A, Tay K, Najefi A, Cullen N, Patel S, Welck M, Malhotra K. Side-to-side difference of metatarsal rotation in normal individuals. Foot Ankle Int 2022;43(6):790-5 [PMID: 35357250]
17. Najefi AA, Katmeh R, Zaveri A, Alsafi MK, Garrick F, Malhotra K, Patel S, Cullen N, Welck M. Imaging Findings
and First Metatarsal Rotation in Hallux Valgus. Foot Ankle Int 2022;43(5):665-75 [PMID: 35135368]
18. Mason L, Malhotra K, Houchen-Wolloff L, Mangwani J. The UK foot and ankle COVID-19 national (FAlCoN)
audit – Regional variations in COVID-19 infection and national foot and ankle surgical activity. Foot Ankle
Surg 2022;28(2):205-216 [PMID: 33785283]
19. Najefi AA, Alsafi MK, Malhotra K, Patel S, Cullen N, Welck M. Repeatability of Weightbearing Computed
Tomography Measurement of First Metatarsal Alignment and Rotation Foot Ankle Int 2022;43(2):260-
266 [PMID: 34416822]
20. Najefi AA, Malhotra K, Patel S, Cullen N, Welck M. Assessing the Rotation of the First Metatarsal on Computed Tomography Scans: A Systematic Literature Review. (Review Article) Foot Ankle Int 2022;43(1):66-
76 [PMID: 34167335]
21. Zaveri A, Katmeh R, Patel S, Malhotra K, Cullen N, Welck M. The use of intramedullary devices for fixation
of metatarsal osteotomies in hallux valgus surgery – A systematic review (Review Article) Foot Ankle
Surg 2021;Dec(e-pub) [PMID: 35027311] (ahead of print)
22. Najefi AA, Zaveri A, Alsafi MK, Malhotra K, Patel S, Cullen N, Welck M. The assessment of first metatarsal rotation in the normal adult population using weightbearing computer tomography  Foot Ankle
Int  2021;42(10):1223-1230 [PMID: 34121479]
23. Oswal C, Patel S, Malhotra K, Sedki I, Cullen N, Welck M. Limb salvage versus below knee amputation
for severe adult lower limb deformity – A retrospective, comparitive series. Foot Ankle Surg 2021;Jul(epub) [PMID: 34274238] (ahead of print)
24. Mangwani J, Malhotra K, Houchen-Wollof L, Mason L. The UK Foot and Ankle COVID-19 National (FAlCoN)
Audit – Rate of COVID-19 infection and 30 Day Mortality in Foot and Ankle Surgery in the UK during the
COVID-19 Pandemic BJJ Open 2021;2(4):216-226 [PMID: 33829856]
25. Junaid ES, Haldar A, Colta R, Malhotra K, Welck M, Saifuddin A. The awareness of Hindfoot Malalignment
on Non-weight bearing Ankle MRI Skeletal Radiol 2020;50(7):1317-1323 [PMID: 33230727]
26. Bernasconi A, Patel S, Malhotra K, Singh D, Welck M, Cullen N. Salvage tibiotalocalcaneal arthrodesis
augmented with fibular columns and iliac crest autograft: A Technical Note Foot Ankle Spec 2021
Feb;14(1):79-88. [PMID: 33345604]
27. Najefi A, Malhotra K, Goldberg A. Mechanical and anatomical axis of the lower limb in ankle arthroplasty Foot (Edin) 2020;44:101666 [PMID: 32172139]
28. Schneider TE, Varrall CR, Malhotra K. Early Results of Minimally Invasive Reverse Oblique Distal Metaphyseal Metatarsal Osteotomy (R-DMMO) for arthritis of the lesser tarsometatarsal joints – A Retrospective
Case Series Foot (Edinb) 2020;43:101652 [PMID: 32086136]
29. Malhotra K, Baggott PJ, Livingstone J. Vitamin D in the foot and ankle – a review of the literature (Review
Article) JAPMA 2020;110(3):1-11 [PMID: 31589473]
30. Najefi A, Malhotra K, Chan O, Cullen N, Goldberg A. The Bologna-Oxford ankle replacement: a case series
of clinical and radiological outcomes Int Orthop 2019;43(10):2333-2339 [PMID:31240361]
31. Malhotra K, Welck M, Cullen N, Singh D, Goldberg A. The effects of weight-bearing on the distal
8 9
tibiofibular syndesmosis: A study comparing weight-bearing CT with conventional CT Foot & Ankle Surg
2019;29(4):511-516 [PMID: 30321955]
32. Chan O, Malhotra K, Buraimoh B, Cullen N, Welck M, Goldberg A, Singh D. Gastrocnemius tightness: A
population based observational study Foot & Ankle Surg 2019;29(4):517-522 [PMID: 30321953]
33. Malhotra K, Joji N, Mordecai S, Rudge B. Minimally invasive distal metaphyseal osteotomy (DMMO) for
symptomatic forefoot pathology – short to medium term outcomes from a retrospective case series Foot
(Edinb) 2019;38:43-49 [PMID: 30634162]
34. Patel S, Malhotra K, Cullen N, Singh D, Goldberg A, Welck M. Defining Reference Values for the Normal Tibiofibular Syndesmosis in Adults Using Weightbearing Computerised Tomography Bone Joint J 2019;101-
B(3):384-352 [PMID: 30813789]
35. Malhotra K, Chan O, Cullen S, Welck M, Goldberg A, Cullen N, Singh D. Prevalence of isolated gastrocnemius
tightness in patients with foot and ankle pathology – a population based study Bone Joint J 2018;100-
B(7):945-952 [PMID: 29954204]
36. Davda K, Malhotra K, O’Donnell P, Singh D, Cullen N. Peroneal tendon disorders (Review Article) EFORT
Open 2017;2(6)281-292 [PMID: 28736620]
37. Malhotra K, Davda K, Singh D. Pathology and management of lesser toe deformities (Review Article) EFORT Open 2017;1(11)409-419 [PMID: 28461920]
38. Salandy A, Malhotra K, Cullen C, Goldberg A, Singh D. Can a urine dipstick test be used to assess smoking status in patients undergoing planned orthopaedic surgery? A prospective cohort study Bone Joint
J 2016;98-B(10):1418-24 [PMID: 27694599]
39. Malhotra K, Buraimoh O, Thornton J, Cullen N, Singh D, Goldberg AJ. Electronic capture of patient and clinician reported outcome measures in an elective orthopaedic setting BMJ Open 2016;6(6):e011975 [PMID:
27324718]
40. Malhotra K, Nunn T, Qamar F, Rao V, Shanker J. Interposition bone block arthrodesis for failed hallux
metatarsophalangeal joint surgery Foot Ankl Intl 2015;36(5):556-64 [PMID: 25504225]
41. Malhotra K, Pai S, Radcliffe G. Do minimally displaced, closed tibial fractures in children need monitoring
for compartment syndrome? Injury 2015;46(2):254-8 [PMID: 24972494]
42. Soni A, Vollans S, Malhotra K, Mann C. Association between smoking and wound infection rates following
calcaneal fracture fixation Foot Ankle Spec 2014;7(4):266-270 [PMID: 25027986]
43. Malhotra K, Nunn T, Chandramohan M, Shanker J. Metatarsal stress fractures secondary to soft-tissue
osteochondroma in the foot: case report and literature review (Case Report) Foot Ankl Surg 2011;17(4):e51-
54 [PMID: 22017915]

Other Publications

44. Khoo M, Chaib B, Malhotra K, Saifuddin A. Pathological Fracture in Paediatric Bone Tumours and TumourLike Lesions: A Predictor of Benign Lesions? Brit J Radiology 2021;94(1125):20201341 [PMID: 34319796]
45. Berkeley R, Okereke O, Malhotra K, Saifuddin A. The Incidence and Relevance of Non-Fatty Components in
Trunk and Extremity Lipomatous Soft Tissue Masses Brit J Radiology 2021;94(1122):20201403 [PMID:
33882249]
46. Saifuddin A, Ali S, Sabahuddin A, Malhotra K, Khoo M. The Differential Diagnosis of Trunk and Extremity Dermal and Sub-dermal Lesions Referred to a Musculoskeletal Oncology Service Clin Imaging 2021;78:51-
59 [PMID: 33765643]
47. Junaid ES, Gnanananthan V, Malhotra K, Saifuddin A. Tumours and Tumour-Like Lesions of Joints Differential
Diagnoses in a Paediatric Population Compared to Adults Brit J Radiology 2021;94(1120):20201389 [PMID:
33617297]
48. Saifuddin A, Shafiq H, Malhotra K, Santiago R, Pressney I. Comparison of In-Phase and Opposed-Phase
T1W Gradient Echo and T2W Fast Spin Echo Dixon Chemical Shift Imaging for the Assessment of Non-neoplastic, Benign Neoplastic and Malignant Marrow Lesions Skel Radiol 2021;50(6):1209-1218 [PMID:
33196854]
49. Singla N, Junaid SE, Siddiqui M, Malhotra K, Saifuddin A. An assessment of Fluid-Fluid Levels on Magnetic
10
Resonance Imaging of Spinal Tumours Skel Radiol 2021 Apr;50(4):771-780. [PMID: 32978680]
50. Butler J, Malhotra K, Suarez-Huerta ML, Yu HM, Selvadurai S, Agu O, Molloy S. 360-Degree Complex Primary Reconstruction using Porous Tantalum Cages for Adult Degenerative Spinal Deformity Global
Spine J 2019;9(6):613-618 [PMID: 31448194]
51. Lui DF, Yu HM, Butler J, Malhotra K, Selvadurai S, Agu O, Molloy S. Neurologic injury in complex adult spinal
deformity surgery: Staged multilevel oblique lumbar interbody fusion (MOLIF) using hyperlordotic Tantalum Cages versus pedicle subtraction osteotomy (PSO) Spine Journal 2019;44(16):E939-E949 [PMID:
30896591]
52. Malhotra K, Butler JS, Benton A, Molloy S. Progressive foot drop caused by below-knee compression
stocking after spinal surgery (Case Report) Oxf Med Case Reports 2016;9:241-4 [PMID: 27617106]
53. Yu HM, Malhotra K, Butler JS, Patel A, Sewell M, Li YZ, Molloy S. The relationship between spinopelvic
measurements and patient-reported outcome scores in patients with multiple myeloma of the spine Bone
Joint J 2016;98-B(9):1234-9 [PMID: 27587526]
54. Malhotra K, Marciniak JL, Bonczek SJ, Hunt N. Venous thromboembolism after lower limb arthroplasty:
is chemical prophylaxis still needed? Eur J Orthop Surg Traumatol 2016;26(8):895-9 [PMID: 27448284]
55. Malhotra K, Butler JS, Yu HM, Selvadurai S, D’Sa S, Rabin N, Kyriakou C, Yong K, Molloy S. Spinal disease
in myeloma: cohort analysis at a specialist spinal surgery centre indicates benefit of early surgical augmentation or bracing BMC Cancer 2016;16:444 [PMID: 27401073]
56. Molloy S, Butler JS, Malhotra K, Benton A, Selvadurai S, Agu O. A new extensile anterolateral retroperitoneal
approach for lumbar interbody fusion from L1 to S1: a prospective series with clinical outcomes Spine
Journal 2016;16(6):786-91 [PMID: 27033312]
57. Malhotra K, Waheed A. Increased biceps translation: a clinical sign of complete distal biceps tendon
rupture (Technical Note) Clinics in Shoulder and Elbow 2016;19(1):48-50
58. Malhotra K, Lui D, Butler JS, Selvadurai S, Molloy S. Successful non-surgical treatment for highly unstable
fracture-subluxation of the spine secondary to myeloma (Case Report) Spine Journal 2016;16(8):e547-
51 [PMID: 26970602]
59. Butler JS, Malhotra K, Patel A, Sewel M, Benton A, Kyriakou C, Molloy S. Pathologic sternal involvement is
a potential risk factor for severe sagittal plane deformity in multiple myeloma with concomitant thoracic
fractures Spine J 2015;15(12):2503-8 [PMID: 26407504]
60. Yu HM, Malhotra K, Butler JS, Shi QW. Anterior and posterior fixation for delayed treatment of posterior
atlantoaxial dislocation without fracture (Case Report) BMJ Case Rep 2015;Oct:Epub [PMID: 26516249]
61. Sheikh H, Malhotra K, Wright P. Cast index in predicting outcome of proximal paediatric forearm fractures Indian J Ortho 2015;49(4):398-402 [PMID: 26229159]
62. Malhotra K, Georgiades I, Davies J. Functional colonic obstruction in an adult as a presenting feature of
thymoma (Case Report) Ann RCS Eng 2011;93(6):e61-63 [PMID: 21929885]
63. Peck C, Malhotra K, Kim WJ. Leg length discrepancy in cementless total hip arthroplasty Surg Science
2011;2(4):183-18
64. Malhotra K, Axisa B. Low plasma albumin linked to fluid overload in postoperative epidural patients Ann
RCS Eng 2009;91(8):703-707 [PMID: 19909614

08Treatments

  • Ankle arthritis and deformity
  • Ankle arthroscopy
  • Ankle replacements
  • Flat feet deformity and tibialis posterior tendon dysfunction
  • Forefoot deformity (including bunions, arthritis and lesser toes)
  • Hindfoot arthritis and deformity
  • Midfoot arthritis and deformity
  • Neuromuscular feet (including Charcot Marie Tooth)
  • Osteochondral/cartilage defects
  • Plantar fasciitis
  • Sports and dance injuries
  • Tendon disorders
  • Treatment of pes cavus (high-arched feet)

09Fees

Please contact us for further information:

020 8909 5114

rnoh.pcenquiries@nhs.net

"The staff at the hospital were all very helpful and cheerful. They were considerate of my situation and made me feel welcome and comfortable. I am so pleased that I chose to have my surgery there."

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"We are incredibly happy by how straight her spine is and the fact that she’s 3 inches taller now. The care that we’ve received from the doctors, the nurses the paediatricians, anaesthetists - has been amazing"

Parents of Emily Scoliosis surgery using Mazor X Stealth Robot

"Emily was born with Erb’s Palsy - a condition that meant she couldn’t use her left arm. She needed an operation. Our daughter was so well looked after – we can’t fault the service or staff"

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