"James understood my situation and expectations from day one, and explained in understandable phrasing what my options were. James put me at ease, which is important. James has been excellent and totally professional from start to finish"
My Philosophy
I believe it is important that you fully understand your knee problem, and what may be causing your symptoms. By taking the time to go through imaging (x-rays and MRI scans) together, and discussing the available evidence-based treatment options, I hope that you feel empowered to manage your symptoms, and make better informed decisions about what is best for your knee, for now and the future.
Qualifications & Education
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Consultant Orthopaedic Surgeon
University Hospitals Bristol and Weston NHS Trust, Bristol
2022 - present
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British Patellofemoral Society Fellowship
Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry
2021 - 2022
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Revision Arthroplasty & Sports Knee Fellowship
Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry
2021 - 2022
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AO Major Trauma Fellowship
Foothills Medical Centre, Calgary, Canada
2020 - 2021
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The Royal College of Surgeons England Fellowship Examination
2019
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Post-Graduate Certificate Medical Education (Merit)
University of Bristol
2018
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Bachelor of Medicine, Bachelor of Surgery (MBBS)
Imperial College London
2009
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Bachelor of Science (BSc) Medical Sciences with Management
Imperial College Business School, London
2007
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Bristol Grammar School
1990 - 2002
About me
Mr James Smith
MBBS BSc FRCS (Tr&Orth) PGMedCert
I am a dual fellowship trained Consultant Trauma and Orthopaedic Surgeon in Bristol, working in both The NHS and the independent sector. I have a high volume specialist practice in treating complex orthopaedic trauma, soft tissue knee injuries (including meniscal tears, cartilage injury, and ligament reconstruction), and knee arthritis. I offer osteotomy (realignment surgery) for early degeneration, and partial and total joint replacement for more advanced disease. I have a further sub-specialty practice in the treatment of patellofemoral (kneecap) instability and pain, and receive referrals from across the south of the UK.
Having attended secondary school in Bristol, and medical school at Imperial College London, I completed my specialist orthopaedic training on the highly regarded Severn Deanery training programme. After being awarded a Fellowship of the Royal College of Surgeons, I completed two further years of subspecialty training; firstly in major orthopaedic trauma in Calgary, Canada, and secondly in knee replacement, sports knee surgery, and the management of patellofemoral disorders, at the renowned Orthopaedic Hospital in Oswestry.
I am always striving to improve treatment and outcome for my patients, and thus have an ongoing involvement in research and training. I have presented and published my research nationally and internationally, and continue to collaborate on studies with colleagues from across the country. I teach on industry led courses, train a subspecialty knee fellow, and sit as faculty at national meetings. This passion and commitment to remaining contemporary in my practice ensures that I can offer my patients proven and evidence-based orthopaedic treatments.
Research & Publications
‘Patellofemoral joint replacement: the Bristol Perspective’ Edwards T, Smith JRA, Hainsworth L, Eldridge JD. Orthopaedics and Trauma, 2024 Dec. doi: 10.1016/j.mporth.2024.12.004 ’Epidemiology and outcomes of tibial plateau fractures in adults aged 60 and over treated in the United Kingdom’ Donovan RL, Smith JRA, Yeomans D, Bennett, White P, Chesser TJS. Injury, 2022 Mar. doi: 10.1016/j.injury.2022.03.048Mar 2022. ‘Midshaft humeral fracture - Operative or nonoperative treatment?’ Smith JRA, Hall J, Buckley R. Injury, 2023 Dec. doi: 10.1016/j.injury.2023.111142. PMID 37866298. ‘AO C3 Distal Radial Fracture – Dorsal Bridge Plating versus ORIF’ Kitzen J, Smith JRA, Buckley R. Injury, 2021 Nov 01. doi: 10.1016/j.injury.2021.10.007. PMID: 34740387 ‘Orthoplastic management of open tibial fractures in children: A consecutive 5 year series from a Major Trauma Centre’ Smith JRA, Fox C, Wright T, Khan U, Clarke A, Monsell F. Bone and Joint Journal, 2021 Jun;103-B(6):1160-1167. doi: 10.1302/0301-620X.103B6.BJJ-2020-2085.R1. PMID: 34058876 ‘Fixed bearing lateral unicompartmental arthroplasty - a final outcome study with up to 28 year follow-up of a single implant’ Murray JR, Smith JRA, Bray R, White P, Robinson J, Porteous AJ. Knee. 2021 Mar;29:101-109. doi: 10.1016/j.knee.2020.12.032. PMID: 33610116 ‘St Georg Sled medial unicompartmental arthroplasty; survivorship analysis and function at 20 years follow-up’ Porteous AJ, Smith JRA, Bray R, White P, Robinson J, Murray JR - Knee Surgery, Sports Traumatology, Arthroscopy, 2021 Jan 27. doi: 10.1007/s00167-021-06454-6. PMID: 33502571 ‘Patellofemoral Joint Arthroplasty: Patient selection, surgical technique and outcomes’ Smith JRA, Eldridge JD. Orthopaedics and Trauma, 2021 Jan. doi: 10.1016/j.mporth.2020.12.006 ‘Midshaft clavicle fracture - Nonoperative versus operative care’ Smith JRA, Kitzen J, Buckley R. Injury. 2020 Nov. doi: 10.1016/j.injury.2020.11.066. PMID: 33267965 ‘Short term rates of radiolucency after primary total shoulder arthroplasty using a cementless metal-backed, pegged polyethylene glenoid’ Al-Hourani K, Smith JRA, Crowther M, Sarangi P, McCann P. Shoulder and Elbow Surgery, 2020 Dec;12(1 Suppl):4-10 doi: 10.1177/1758573218789339. PMID: 33343711 ‘Proximal Humerus Fractures: Reliability of Neer versus AO Classification on Plain Radiographs and Computed Tomography’ Stoddart M, Pearce O, Smith JRA, McCann P, Sheridan B, Al-Hourani K. Cureus, 2020 June 12(6):e8520. doi: 10.7759/cureus.8520. PMID: 32656034 ‘Why do patients not kneel after knee replacement? Is neuropathic pain a contributing factor?’ Smith JRA, Mathews J, Osborne L, Bakewell Z, Williams JL. Knee. 2019 Mar;26(2):427-434. doi: 10.1016/j.knee.2018.12.009 PMID: 30770166 ‘Dynamic ulnar drift of a single digit by an anomalous accessory extensor tendon’ Smith JRA, Amirfeyz R. Journal of Hand Surgery (AP) 2017 March;22(1):108-110. doi: 10.1142/S0218810417720054. PMID: 28205472 ‘The Elbow - Anatomy, surgical approaches and biomechanics of the elbow’ Rooker J, Smith JRA, Amirfeyz R. Orthopaedics and Trauma. 2016 Aug;30(4): 283-290. doi:10.1016/j.mporth.2016.05.008 ‘Does immediate elbow mobilisation after distal biceps tendon repair carry risk of wound breakdown, failure of repair or patient dissatisfaction?’ Smith JRA, Amirfeyz R. Journal of Shoulder and Elbow Surgery 2016 May;25(5):810-5. doi: 10.1016/j.jse.2015.11.066 PMID: 26897313 ‘Assessing the quality of operation notes: a review of 1092 operation notes in 9 UK hospitals’ Severn Audit and Research Collaborative in Orthopaedics (SARCO). Patient Safety in Surgery 2016 10:5. doi: 10.1186/s13037-016-0093-x. PMID: 26855672 ‘Distal femoral fractures - The need to review the standard of care’ Smith JRA, Orthopaedics Trauma Society. Injury, 2015;46(6):1084-8. doi: 10.1016/j.injury.2015.02.016. PMID: 25840789 ‘Good for the hip pocket: The cost cutting project improving surgery’ Foote J, Smith JRA, Atwal N, Eastaugh-Waring S, Webb JC. Health Service Journal, 2015, May ‘Fixed bearing lateral unicompartmental knee arthroplasty - Short to midterm survivorship and knee scores for 101 prostheses’ Smith JRA, Robinson JR, Murray JRD, Porteous AJ, Hassaballa MA, Artz N, Newman J. Knee, 2014 Aug;21(4):843-7. doi: 10.1016/j.knee.2014.04.003PMID: 24831525 ‘Stem compatibility for cement-in-cement femoral revision - An in vitro study’ Berstock JR, Torrie AG, Smith JRA, Webb JC, Baker RP. Hip International Sep-Oct 2014;24(5):434-41. doi: 10.5301/hipint.5000148. PMID: 25044270 ‘A systematic review: Patient Reported Outcomes and Patient Experience in Enhanced Recovery After Orthopaedic Surgery’ Jones EL, Wainwright TW, Smith JRA, Foster JD, Middleton RG, Francis NK. Annals of The Royal College of Surgeons, March 2014; 96(2): 89-94. doi: 10.1308/003588414X13824511649571. PMID: 24780662 ‘Patella Fracture Fixation: An unreported complication occurring directly attributable to tension band fixation of the patella’ Torrie AG, Smith JRA, Kelly MB. British Journal of Medical Practitioners, 2014;7(1):a703 ‘Investigation of Occult Hip Fractures - The use of CT and MRI’ Gill SK, Smith JRA, Fox R, Chesser TJS. The Scientific World Journal, February 2013. doi: 10.1155/2013/830319. doi: 10.1155/2013/830319 PMID: 23476147
