Mr Paul Middleton

Mr Middleton is a highly skilled Consultant Orthopaedic Knee Surgeon based in Scotland, specialising in the diagnosis, treatment, and surgical management of knee injuries, sports-related conditions, and degenerative knee disease. He completed his orthopaedic training on the prestigious North East of England Orthopaedic Rotation, one of the UK’s most respected surgical training programmes, before establishing his consultant practice in Scotland.

Specialist in Knee Surgery, Sports Injuries & Degenerative Knee Conditions

With broad expertise across the full spectrum of knee pathology, Mr Middleton provides advanced assessment and treatment for:

• Cartilage defects and cartilage injury
• Meniscal tears
• Ligament injuries, including ACL, PCL, and multi‑ligament damage
• Patellofemoral pain and instability
• Knee arthritis and degenerative joint disease

His practice is focused on helping patients regain mobility, reduce pain, and return to sport or active lifestyles as safely and efficiently as possible.

Expert in Arthroscopic (Keyhole) Knee Surgery

Mr Middleton is recognised for his expertise in arthroscopic (keyhole) knee surgery, offering minimally invasive procedures that promote quicker recovery and less postoperative discomfort. Through arthroscopy, he manages a wide range of conditions including:

• Meniscal repair or resection
• Cartilage repair procedures
• Ligament reconstruction
• Patellofemoral joint stabilisation

This approach enables many patients to experience improved outcomes with reduced downtime.

Partial and Total Knee Replacement Specialist

For patients with advanced knee arthritis, Mr Middleton provides both:

• Partial (unicompartmental) knee replacement
• Total knee replacement

He offers these procedures when clinically appropriate, using modern surgical techniques to optimise pain relief, function, and long‑term implant performance.

Non‑Surgical Knee Treatments

In addition to surgery, Mr Middleton provides a comprehensive range of non‑operative treatments for knee pain and knee arthritis, including lifestyle management, physiotherapy‑guided rehabilitation, and targeted injections. His approach prioritises personalised care, ensuring patients have access to the most suitable treatment options based on their condition and goals.

NHS Practice and Trauma Surgery Expertise

Alongside his private practice, Mr Middleton plays a key role in the NHS, where his work centres on knee surgery and general trauma surgery, managing a variety of injuries requiring urgent and expert orthopaedic care.

Trainer, Educator and Medicolegal Expert

Mr Middleton is a GMC-recognised trainer and serves as a clinical supervisor for orthopaedic trainees rotating through his NHS department. He is committed to supporting the next generation of orthopaedic surgeons through structured training and mentorship.

He is also an experienced medicolegal expert witness, preparing approximately 100 medicolegal reports each year, covering a wide range of orthopaedic and trauma-related cases.