About Malcolm Smith, MD,MBCHB

Dr. Malcolm Smith cares for and treats traumatically-injured patients with fractures, dislocations and major soft tissue injuries.

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 the Chief of the Orthopaedic Trauma Center 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, 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.

Departments, Centers, & Programs:

Clinical Interests:



Orthopaedic Associates
55 Fruit Street
Boston, MA 02114-2696
Phone: 617-726-9111
Phone: 617-726-2794
Fax: 617-726-8214

Medical Education

  • M.B., CH.B.,Leeds University Medical School, Leeds, England
  • MD, University of Leeds
  • MD, University Of Leeds U K
  • Residency, Nuffield Orthopaedic Centre
  • Residency, Saint Jame's University Hospital
  • Fellowship, Boston Children's Hospital
  • Fellowship, Children's Hospital Boston

American Board Certifications

  • Orthopedic Surgery, (No Board)

Accepted Insurance Plans

Note: This provider may accept more insurance plans than shown; please call the practice to find out if your plan is accepted.


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.