Photo of R. Malcolm Smith, MD

R. Malcolm Smith, MD

  • Chief, MGH Orthopaedic Trauma Service
  • Associate Chief, Partners Orthopaedic Trauma Service
  • Associate Professor of Orthopaedic Surgery, Harvard Medical School


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Dr. Smith cares for and treats traumatically-injured patients with fractures, dislocations and major soft tissue injuries. Dr. Smith also cares for patients who have disorders or injuries of the spine.



Clinical Interests
  • Major orthopaedic trauma & fracture care
  • Pelvic & acetabular reconstruction
  • Polytrauma & severe injury
  • Open fracture management
  • Minimally invasive plating techniques
  • orthopedic spinal surgery & spinal fractures
  • Trauma-related infection and osteomyelitis
  • Complications of injury, infection, non-union & malunion
Medical Education
  • MD, University of Leeds
  • Residency, Nuffield Orthopaedic Centre
  • Fellowship, Children's Hospital Boston
  • Boston: Massachusetts General Hospital
Insurances Accepted
  • Aetna Health Inc.
  • Beech Street
  • Blue Cross Blue Shield - Blue Care 65
  • Blue Cross Blue Shield - Indemnity
  • Blue Cross Blue Shield - Managed Care
  • Blue Cross Blue Shield - Partners Plus
  • Centene/Celticare
  • Cigna (PAL #'s)
  • Fallon Community HealthCare
  • Great-West Healthcare (formally One Health Plan)
  • Harvard Pilgrim Health Plan - ACD
  • Harvard Pilgrim Health Plan - PBO
  • Health Care Value Management (HCVM)
  • Humana/Choice Care PPO
  • Medicaid
  • Medicare
  • Medicare - ACD
  • Neighborhood Health Plan - ACD
  • Neighborhood Health Plan - PBO
  • OSW - Maine
  • OSW - New Hampshire
  • OSW - Rhode Island
  • OSW - Vermont
  • Private Health Care Systems (PHCS)
  • Railroad Medicare
  • Senior Whole Health
  • TriCare
  • Tufts Health Plan
  • Unicare
  • United Healthcare (non-HMO) - ACD
  • United Healthcare (non-HMO) - PBO
Patient Age Group
Adult and Pediatric

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Dr. Smith is an experienced clinician with specific interests in the management of orthopaedic injuries. He held a NHS Consultant post in the UK from December 1992 to July 2001, establishing a major trauma referral center at St. James's University Hospital in Leeds. He was recruited by the Harvard Department of Orthopaedic Surgery in 2001 and is now Chief of the Orthopaedic Trauma Surgery at Massachusetts General Hospital. Dr. Smith is an internationally recognized specialist in Orthopaedic traumatology with special experience in the management of polytrauma, pelvic and acetabular surgery, spinal surgery, open fracture management, minimally invasive plating techniques and post-traumatic reconstruction.

Academically he has served on the Editorial Board of the JBJS(Br) and regularly reviews papers for a number of journals. He is a member of several major Orthopaedic and Trauma societies and was President if the British Trauma Society from 2000-2001.

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Research & Publications

Research Summary

Dr. Smith is well-published in orthopaedic trauma literature. His research portfolio contains basic science, epidemiological, clinical method and outcome studies. Of note, Dr. Smith's work on the healing of femoral fractures, the immune response after trauma, and open fracture management are considered landmark papers in the field of orthopaedic trauma.


Dr. Smith has published extensively in the field trauma orthopaedics. Here is a short selection:

Bhattacharyya T, Mehta P, Smith RM, Pomahac B. Routine Use of Wound Vacuum-Assisted Closure Does Not Allow Coverage Delay for Open Tibia Fractures. Plast. Reconstr. Surg. 2008,121(4) 1263-1266.

Morley JR, Smith RM, Pape. HC, Macdonald DA, Trejdosiewitz LK, Giannoudis PV Stimulation of the local inflammatory response to fracture and intramedullary reaming, A preliminary study of the source of the second hit phenomenon.J Bone & Joint Surg 2008, 90(3) 393-399.

O'toole RV, Gobezie R, Hwang R, Chandler AR, Smith RM, Estok DM 2nd, Vrahas MS. Low Complication Rate of LISS for Femur Fractures Adjacent to Stable Hip or Knee Arthroplasty. Clin Orthop Relat Res. 2006 May 18.

Bhattacharyya T, McCarty LP 3rd, Harris MB, Morrison SM, Wixted JJ, Vrahas MS, Smith RM. The posterior shearing tibial plateau fracture: treatment and results via a posterior approach. J Orthop Trauma. 2005 May-Jun;19(5):305-10.

Gopal S, Giannoudis PV, Murray A, Matthews SJ, Smith RM. The functional outcome of severe, open tibial fractures managed with early fixation and flap coverage. J Bone Joint Surg Br. 2004 Aug;86(6):861-7.

Syed AA, Agarwal M, Giannoudis PV, Matthews SJ, Smith RM. Distal femoral fractures: long-term outcome following stabilisation with the LISS Injury. 2004 Jun;35(6):599-607.

Giannoudis PV, Hinsche AF, Cohen A, Macdonald DA, Matthews SJ, Smith RM. Segmental tibial fractures: an assessment of procedures in 27 cases. Injury. 2003 Oct;34(10):756-62.

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News & Events


Orthopaedic Associates
55 Fruit Street
Boston MA, 02114-2696
Phone: 617-726-9111617-726-2794
Fax: 617-726-8214

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