Paul Culpan

Mr Paul Culpan

Hip & Knee Surgeon

Consultant in Trauma and Orthopaedics, St Bartholomew's and The Royal London Hospitals

AXA: PC03614
BUPA: 04306009

BSc, MBChB, FRCS (Tr & Orth)

Secretary: Sophia Joseph - 020 7496 3555

Based at:

Special interests

  • Arthroscopic knee surgery and knee sports injuries including ACL reconstruction and multiple ligament reconstructions
  • Partial and total primary knee replacements and revision knee replacements
  • Primary total hip replacement including the use of custom-made implants and the minimally invasive anterior approach
  • Complex hip reconstruction and revision hip replacement
  • Pelvic and acetabular trauma surgery
  • Complex lower limb trauma surgery
  • Rehabilitation of complex trauma patients

Professional positions

  • Consultant Trauma and Orthopaedic Surgeon at St Bartholomew’s and The Royal London Hospital, and Departmental Lead for Hip and Knee Surgery
  • NHS Departmental Lead for Hip & Knee Surgery

Personal details

Paul is married and has a young daughter. He returned to London in 2010 having spent nearly 4 years experiencing work and life abroad. This entailed more than one year of working and living in Paris and two and a half years in Abu Dhabi. He enjoys travelling and has explored much of the Middle East and North Africa. He has an interest in contemporary art (guided by his wife!), enjoys watching and playing sports and is an enthusiastic skier.

Medical and Surgical Training

Paul qualified in Medicine from the University of Manchester in 1996 having previously completed a BSc from the University of St Andrews. His post graduate basic surgical training was undertaken through Bart’s and the Royal London surgical rotations. Following this he entered higher surgical training in Trauma and Orthopaedics in the North East Thames region on the University College London rotation. This training involved working as a Specialist Registrar at several of the regions university teaching hospitals including the Royal National Orthopaedic Hospital, the Middlesex and University College Hospital London, Great Ormond Street Hospital, Bart’s and the Royal London Hospitals where he worked for many renowned experts in their field.

He became a Fellow of the Royal College of Surgeons (FRCS Tr & Orth) in 2005 and completed his higher surgical training in 2007. He spent one year fellowship with Professor Judet at his famous orthopaedic unit in Garches. Following this he spent two and a half years working as a consultant in the largest public hospital in Abu Dhabi before returning to London in 2010 to join Bart’s and the Royal London Hospital in 2010.

Specialist Fellowship Training

Paul spent one year on fellowship in Paris working for Professor Judet, a leading professor of orthopaedic surgery in France. This active department with two professors in lower limb surgery takes national and international referrals for complex primary joint replacements, revision joint replacements, pelvic and acetabular fractures and the complications of fractures, including infection and mal-union.

During his fellowship operating with Professor Judet he learnt and practised new techniques and gained a lot of experience in hip arthroplasty through the minimally invasive anterior approach including hip resurfacing and revision hip surgery. He gained experience in osteotomies for early treatment of osteoarthritis of the knee and more generally for deformity correction.

In addition to his clinical responsibilities he also had a formal research position under the auspices of the French orthopaedic association (SOFCOT) and the University of Paris. During his time at Garches he published articles and several presentations on subjects including hip resurfacing and the anterior approach to the hip; valgus closing wedge osteotomy to the knee and gait analysis in ankle arthroplasty.

Previous Consultant Experience

Paul’s time in Abu Dhabi was spent working as a consultant at the Sheikh Khalifa Medical City which was managed by the Cleveland Clinic and is the largest public hospital in Abu Dhabi and a tertiary referral centre for the United Arab Emirates. His busy orthopaedic practise focused on knee sports injuries, all forms of knee replacement surgery and hip replacement surgery in particular managing cases with severe deformity and arthritis in a young age group. The trauma surgery was often complex due to the large proportion of patients with severe injuries. He therefore gained considerable experience in lower limb trauma surgery and in particular pelvic and acetabular reconstructive surgery.

Current Consultant Position

Paul is currently a Consultant Orthopaedic Surgeon at St Bartholomew’s and Royal London teaching hospital. He joined the department in April 2010 as a locum consultant and took up the substantive position in January 2011. On joining the department he initiated a pelvic and acetabular trauma service to complement the existing impressive orthopaedic trauma service that the Royal London Hospital is renowned for. This service has developed rapidly to become one of the busiest in the region.

His other role is in elective lower limb reconstructive surgery with a particular interest in hip and knee replacement surgery including the use of minimally invasive techniques in treating patients with all forms of arthritis and in performing complex replacements often following major trauma. He continues to manage patients with knee sports injuries and knee ligament injuries.


Osteotomy of the tibial tubercle in complex primary total knee replacement
Lavigne F, Culpan P, Piriou P, Judet T
European Journal of Orthopaedic Surgery and Traumatology, Jan 2009

Study of hip morphology and femoral offset.
Piriou P, Culpan P,  and the Meije group.
Interactive Surgery, Vol 2, p216-219 Dec 2007

Ankle replacement vs arthrodesis : a comparative gait analysis study
Piriou P, Culpan P, Mullins M, Pozzi D, Cardon JN, Judet T.
Foot and Ankle Intl, Vol 29 no.1: 3-9 Jan 2008

Ankle arthrodesis following failed arthroplasty.
Culpan P, Le Strat V, Judet T.
Journal of Bone and Joint Surgery, Sept 2007, 89-B, 1178-83

Relationship Between locking-bolt torque and load pre-tension in the Ilizarov frame.
Osei NA, Bradley BM, Culpan P, Mitchell JB, Barry M, Tanner KE.
Injury. 2006 Oct;37(10):941-5

Case Report: Extensive spinal epidural abscess in a diabetic patient post splenectomy. Associated with a full recovery.
Ansari A, Davies D, Lohn J, Culpan P, Etherington G.
Anaesth Intensive Care. Dec 2004; 32(6):825-9

Continuous Passive Motion.
P Culpan, J Skinner.
Hospital Healthcare Europe, September 2002

The role of re-hydration in the prevention of fat embolism syndrome.
I.D. McDermott, P. Culpan, M. Clancy and J.F. Dooley.
Injury, 2002; 33:757-75