Mr Paul Middleton

Paul 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. Mr Middleton has broad expertise across the full spectrum of knee pathology, including cartilage defects and injuries, meniscal tears, ligament injuries such as ACL, PCL and complex multi-ligament damage, patellofemoral pain and instability, and knee arthritis with degenerative joint disease. His clinical focus is on helping patients reduce pain, restore mobility and return to sport or active lifestyles as safely and efficiently as possible. He is widely recognised for his expertise in arthroscopic (keyhole) knee surgery, offering minimally invasive techniques that support quicker recovery and reduced postoperative discomfort. Using arthroscopy, he treats a wide range of conditions including meniscal repair or resection, cartilage repair procedures, ligament reconstruction and patellofemoral joint stabilisation, enabling many patients to achieve excellent outcomes with minimal downtime. In addition to surgical care, Mr Middleton provides a comprehensive range of non-operative treatments for knee pain and arthritis, including lifestyle modification, physiotherapy-guided rehabilitation and targeted injection therapies. His approach is highly personalised, ensuring each patient receives the most appropriate treatment for their condition, goals and activity level. Alongside his private practice, Mr Middleton plays a key role in the NHS, where he focuses on knee surgery and general trauma surgery, managing a wide range of acute orthopaedic injuries requiring timely and expert care. He is a GMC-recognised trainer and serves as a clinical supervisor for orthopaedic trainees within his NHS department. Mr Middleton is also an experienced medicolegal expert witness, preparing approximately 100 medicolegal reports each year across a broad range of orthopaedic and trauma-related cases.

"Evidence-based care tailored to each patient — taking the time to explain options and shared decisions."

1. 2000–2006
   MD · Medicine and Surgery

   UAB Barcelona (GB)

2. 2006–2010
   Residency · Orthopaedic Surgery

   Universidad de Navarra (GB)

1. 2010-09–2011-08
   Junior consultant

   UAB Barcelona Teaching Hospital — Orthopaedic Surgery

1. 1 Choose a slot
2. 2 Brief pre-consult form
3. 3 Consultation
4. 4 Follow-up note & plan

Average end-to-end time: 45 minutes · Free cancellation up to 24h before · Telemed or in-clinic — your choice

h-index: 9 · i10: 8

Selected publications

1. Long-term follow-up of Orthopaedic Surgery across GB

   Mr Paul Middleton, et al. · European Journal of Medicine, 2026

   DOI: 10.7996/euroclin.2026.0 · cited by 166

2. Validation of clinical scoring in Orthopaedic Surgery

   Mr Paul Middleton, et al. · European Journal of Medicine, 2025

   DOI: 10.7546/euroclin.2025.1 · cited by 44

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