Trauma Service

As a Level I Trauma Center, our doctors specialize in emergency orthopaedic care and post-traumatic reconstructive surgery for patients injured in motor vehicle collisions, industrial accidents and falls.

Our Team


Advanced Practitioners

Harvard Medical School Orthopaedic Trauma Intiative
MassGeneral is a teaching affiliate of Harvard Medical School

What to Expect

Patient care often begins in Mass General's

Emergency Room

. Here our staff works with a team of nurses, trauma coordinators and other specialists to direct the care of each patient.


After the trauma team has diagnosed and stabilized a patient's injuries, the patient may be admitted to the hospital. If orthopaedic surgery is required, one our our attending physicians will serve as the patient's surgeon.  When this happens, the patient is brought to an operating room for repair of his or her injuries. Our attending physician and trauma nurses keep the patient's family regularly informed and involved in decision-making throughout the patient's stay.  Patients who are seen, treated and released from our Emergency Department are encouraged to follow up with us in our Outpatient Trauma Clinic.

In our Outpatient Trauma Clinic, we also see patients with older injuries referred to us for treamtent and possible reconstructivon.  We evaluate each patient, run any necessary tests and develop a personalized treatment plan for each patient.  If surgery is required, the patient’s procedure is scheduled as soon as possible, based on the severity of his or her symptoms. Scheduling appointments for emergency and post-traumatic consultations at our outpatient clinic is easy.

Individualized, Comprehensive Care

In addition to our orthopaedic trauma professionals, our team collaborates with specialists from other clinical departments at Mass General, such as the

Division of Trauma, Emergency Surgery and Surgical Critical Care

. Our multidisciplinary approach ensures patients receive outstanding treatment for all their conditions. We provide compassionate care for the entire person — not just his or her injuries.


A registered nurse also helps patients and their families manage the next steps in their treatment, whether recovery takes place in the home or at a facility such as Spaulding Rehabilitation Hospital.

To assist patients and their families, we offer a complete range of resources at Mass General for long-term care, including:

  • Physical therapy
  • Occupational therapy
  • Social services
  • Follow-up appointments
  • Psychiatric services
  • Nutritional counseling

From fractures and joint dislocations to malunions and nonunions, our acclaimed clinical team treats the complete spectrum of musculoskeletal injuries. Performing a high volume of surgical procedures annually, our physicians have earned an international reputation for their advanced techniques in post-traumatic reconstruction. This combination of expertise and experience offers patients exceptional care from some of the most accomplished trauma specialists in the Northeast.

A World-Class Center for Emergency & Post-Traumatic Care

 As a certified Level 1 Adult Trauma Center, we are prepared to treat severely injured patients around the clock in our

Emergency Department

. And while our surgeons are renowned for their expertise in fixing the most complex fractures, they also are recognized as leading specialists in treating the post-traumatic complications associated with these injuries. As a result, orthopaedic physicians throughout New England regularly refer patients to us with these complex conditions.


Our resources include:

  • An emergency trauma team with vast experience in taking lifesaving measures, saving limbs and providing rapid diagnoses
  • Advanced operating facilities reserved for patients who require immediate surgery
  • Acute-care and intensive-care units for patients who have sustained multiple traumas or require close observation
  • Comprehensive rehabilitation services, physical therapy, occupational therapy and other long-term care programs to assist patients throughout recovery
  • Outpatient services for patient evaluation, diagnosis and treatment

Recognized Experts in Critical & Post-Traumatic Care

At Mass General, we've treated critically injured patients since 1811. Our team of orthopaedic trauma surgeons includes:

  • Malcolm Smith, MD, Chief of the Orthopaedic Trauma Service is an internationally renowned specialist in fractures of the pelvis and tibia
  • Mark Vrahas, MD, Partners Chief of Orthopaedic Trauma Service & Chair of the Harvard Medical School Orthopedic Trauma Initiative is known worldwide for his expertise in treating pelvic and acetabular fractures
  • David Lhowe, MD is a highly skilled surgeon who treats fractures, nonunions and malunions, as well as various hip and knee conditions
  • Marilyn Heng, MD specializes in the treatment of fractures, high-energy soft-tissue injuries and post-traumatic complications of infection and nonunion

Our team also includes surgical experts from Mass General’s

Hand and Upper Extremity Service


Foot and Ankle Service

. These orthopaedic specialists work together to treat patients with debilitating hand, wrist and elbow injuries and foot and ankle injuries. The staff includes:


Hand and Upper Extremity Service

  • Jesse Jupiter, MD, one of the world’s leading experts in reconstructive surgery of the elbow and wrist
  • David Ring, MD, PhD, an accomplished surgeon with vast experience in treating acute post-traumatic complications
  • Neal Chen, MD brings a wide breadth of expertise, ranging from advanced arthroscopy to complex extremity reconstruction.

Attention to the Specific Care of the Older Patient - GIFTS Program

The medical needs of older patients are different than those of their younger counterparts. Our team -

Geriatric Inpatient Fracture Service (GIFTS)

- features a clinical co-management program that harnesses the expertise of both orthopaedic surgeons and internal medicine physicians to ensure that older patients receive the care they need while in the hospital.


The Orthopaedic Trauma Service at Massachusetts General Hospital provides emergency orthopaedic care and post-traumatic reconstructive surgery services to patients with traumatic injuries resulting from motor vehicle collisions, industrial accidents, falls and any other mechanism of injury.

In addition to treating traumatic orthopaedic injuries, our surgeons have subspecialty interests and training in surgical issues of the spine, arthritic conditions of the hip and avascular necrosis of the hip.

As a guide we offer treatment for patients with the following conditions:

  • Open and closed fractures of the upper and lower extremities to include the shoulder, clavicle, scapula, humerus, elbow, radius and ulna and some fractures of the wrist. Fractures of the pelvis and acetabulum, hip, femur, knee, tibia, fibula, ankle and foot
  • Fractures of the spine and specific conditions of the spine requiring surgical intervention
  • Osteoarthritis or Avascular necrosis of the hip
  • Large tendon ruptures and tears or muscle injuries
  • Patients with mal-union or non-union of fractures
  • Patients with bone infections or complications due to painful hardware/implants
  • Pediatric patients with injuries or any of these complications are also seen by the Orthopaedic Trauma Service

The MGH responds to Haiti earthquake

In the hours and days following the Haiti earthquake, Mass General has mobilized to offer assistance to those affected by disaster -- both the victims in Haiti and their family members and friends in the Mass General community who are struggling to cope with the ordeal.

MAO residents and fellows rally together for Haiti

MGH Hotline 4.12.10 When he saw the tragic events unfold in Haiti, MGH Urology resident Audley Osbourne, MD, could not simply witness the devastation without doing something to help.

One man's medical care journey at the MGH allows him to run the marathon

Running a marathon was Alfred Buccilli's dream growing up in Revere, Mass.

Departments collaborate to transform care for senior patients

Two MGH departments have joined together to redesign the way care is offered to senior patients with bone fractures.

Watertown's Arsenal Medical Developing Foam to Buy Time for Wounded Soldiers

David R. King, MD, director of the Knight Surgical Research Lab at Mass General, is part of a team investigating the use of a biofoam to assist wounded soldiers.

Harvard Medical School welcomes the Harvard Medical School Orthopedic Trauma Initiative

The primary purpose of this Initiative is to foster collaboration amongst the orthopedic trauma services at all four Harvard-affiliated teaching hospitals in Boston: Beth Israel Deaconess Medical Center; Boston Children’s Hospital; Brigham and Women’s Hospital; and Massachusetts General Hospital.

Trauma preparedness: teaching the teachers

Mass General trauma surgeon David King, MD, instructs local educators in the use of tourniquets, empowering them to take action in a crisis.

Four New Professors of Harvard Medical School in Orthopaedic Surgery

Harvard Medical School promoted Francis J. Hornicek, MD, PhD, Orhun K. Muratoglu, PhD, David C. Ring, MD, PhD & Mark S. Vrahas, MD to professors of Orthopaedic Surgery.

Radical Improvements to Trauma Care: From MGH to the World (And Why You Should Care)

A presentation featuring George Velmahos, MD, Chief of Mass General's Division of Trauma, Emergency Surgery & Surgical Critical Care

Orthopaedic Trauma Service

Phone: 617-726-9111

Trauma Service

make an appointment with the Trauma Service

Phone: 617-726-9111

Trauma Surgeons

Dr. Mark Vrahas, Chief, Partners Orthopaedic Trauma


Mark Vrahas, MD
Chief, Partners Orthopaedic Trauma
ph: 617-726-2943
fax: 617-726-8214
Yawkey, Suite 3C, Boston


Dr. R. Malcolm Smith, Chief, Orthopaedic Trauma Service


R. Malcolm Smith, MD
Chief, Orthopaedic Trauma Service
ph: 617-726-2794
fax: 617-726-8214
Yawkey, Suite 3C, Boston


Dr. Mariyn Heng, Orthopaedic Trauma Surgeon


Marilyn Heng, MD
ph: 617-643-0149
fax: 617-726-8214
Yawkey, Suite 3C, Boston


Dr. David Lhowe, Orthopaedic Trauma Surgeon


David Lhowe, MD
ph: 617-724-2800
fax: 617-726-6311
10 Hawthorne Place, Suite 115, Boston


Dr. Hans Van Lancker, Orthopaedic Trauma Service Fellow

Hans Van Lancker, MD
Trauma Fellow
ph: 617-726-2403
fax: 617-726-8214
Yawkey, Suite 3C, Boston


Hand & Upper Extremity Surgeons on Trauma Team

Dr. Jesse Jupiter, Orthopaedic Hand and Upper Extremity Surgeon


Jesse Jupiter, MD
Hand and Upper Extremity
ph: 617-726-4700
fax: 617-724-8532
Yawkey, Suite 2C, Boston


Dr. David Ring, Orthopaedic Hand and Upper Extremity Surgeon


David Ring, MD
Chief, Hand and Upper Extremity Service
ph: 617-726-4700
fax: 617-724-8532
Yawkey, Suite 2C, Boston


GIFTS Program

Dr. Esteban Franco-Garcia, Primary Care Physician with ortho-geriatric unit


Esteban Franco-Garcia, MD
Trauma, GIFTS Program
ph: 617-726-4000
Yawkey, Suite 3C, Boston



Advanced Practitioners

Kathleen Burns, NP, Trauma Service


Kathleen Burns, ACNP
Nurse Practitioner


Ben Hollingsworth, ACNP, Trauma Service


Ben Hollingsworth, ACNP
Nurse Practitioner


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