James is a Specialist Knee Surgeon based in Bristol and Bath, UK and a founding partner of Knee Specialists. He trained in London and his post-graduate Master of Surgery degree at Imperial College investigated the biomechanics of the medial collateral ligament complex of the knee. His fellowship training was at the Clinique du Sport, Bordeaux, France and at the Avon Orthopaedic Centre Bristol, where he was then appointed as a Consultant with Special Interest in Complex Knee Reconstruction. In 2016, he spent 18 months on sabbatical at the International Knee and Joint Centre in Abu Dhabi.

He has published over 80 research papers and book chapters on knee surgery and has received awards for this both nationally and internationally. including the British Association of Surgery of the Knee President’s medal as well as awards at the French Arthroscopy Society and German Speaking Arthroscopy Society.

He has developed both instrumentation and surgical techniques for arthroscopic surgery and is regularly invited to lecture and teach internationally on aspects of sports knee surgery, such as ligament reconstruction, meniscal repair and osteotomy.

He is the Co-chairman for the Sports Knee Preservation Committee for ISAKOS, member of the scientific committee of the international ACL Study Group and previously a member of the Arthroscopy Committee for ESSKA and Chairman of the ESSKA Collateral ligaments Working Group. He is a reviewer for the American Journal of Sports Medicine and the BJJ. He sits on the steering committee for the UK National Ligament registry.