Physician Photo

R. Malcolm Smith, MD

Chief, MGH Orthopaedic Trauma Service

Associate Chief, Partners Orthopaedic Trauma Service

Associate Professor of Orthopaedic Surgery, Harvard Medical School

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.

Department of Orthopaedics


  • MassGeneral Hospital for Children
  • Orthopaedics
  • Trauma Center
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
Boston: Massachusetts General Hospital
Medical Education
MD, University of Leeds
Residency, Nuffield Orthopaedic Centre
Fellowship, Children's Hospital Boston
Patient Age Group
Adult and pediatric
Accepting New Patients
Accepting New Patients


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.


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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Orthopaedic Associates
55 Fruit Street
Yawkey Center for Outpatient Care, Suite 3C
Boston, MA 02114-2696

Phone: 617-726-9111
Phone 2: 617-726-2794
Fax: 617-726-8214