Mr James Smith



GMC number: 7049862

Practising since: 2009


Orthopaedic surgery

Consultation times

  • Alternate Wednesdays, Afternoon/Evening
  • Overview
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0117 906 4870


Mr James Smith is a highly qualified, professional and compassionate Consultant Orthopaedic Surgeon, who will place you at the centre of your treatment. In addition to his private work, he has a full-time NHS practice based at the Bristol Royal Infirmary.

Having attended secondary school in Bristol, and medical school at Imperial College London, Mr Smith completed his specialist orthopaedic training on the highly regarded Severn Deanery training programme. He completed two further years of subspecialty fellowship 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.

Mr Smith’s practice comprises the treatment of soft tissue knee injuries (including meniscal tears, cartilage injury, and ligament reconstruction) and arthritic problems, for which he offers osteotomy (realignment surgery) and both partial and total joint replacement. He also has a subspecialty practice in the treatment of kneecap instability.

Mr Smith has an active involvement in research, has multiple journal publications, and has presented his work nationally and internationally. He teaches and sits as faculty at national meetings, and his commitment to remaining contemporary in his practice ensures that he will offer you proven and evidence-based orthopaedic treatments.

Special interests

  • Soft tissue knee surgery
  • Knee replacement surgery
  • Patellofemoral instability and pain

Personal interests

When not at work, James enjoys an outdoor lifestyle including cycling, skiing and occasional golf. His greatest pleasure however is spending quality time with his wife and two young children.

Languages spoken


Treatments and tests offered by Mr James Smith at Nuffield Health

  • Osteotomy
  • Knee replacement
  • Knee arthroscopy
  • Tibial osteotomy
  • Manipulation under anaesthesia (MUA)
  • Meniscectomy for meniscus tear
  • Cartilage reconstruction
  • Anterior cruciate ligament (ACL) repair
  • Bone Graft
  • Arthroplasty

Locations Mr James Smith works with

Related experience


Details of Mr Smith’s published research can be found online by clicking the link below:
PubMed - Mr James Smith
These research articles include:

  • ‘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.
  • ‘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
  • ‘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
  • ‘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.
  • ‘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.
  • ‘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


  • British Association for Surgery of the Knee (BASK)
  • British Patellofemoral Society (BPFS)
  • Orthopaedic Trauma Society (OTS)
  • International Orthopaedic Diversity Alliance (IODA)

Other posts held

  • Consultant Trauma and Orthopaedic Surgeon, Bristol Royal Infirmary

Insurers Mr James Smith works with

Mr James Smith works with the following private medical insurance providers:

  • AXA Health
  • Exeter Family Friendly
  • Aviva Health
  • Vitality Health (Pru Health)
  • Healix
  • WPA
  • Healix Healthcare


Mr James Smith does not hold a share or financial interest in this hospital, another Nuffield Health hospital or the company.

Mr James Smith does not have a share or financial interest in equipment used at this hospital or another Nuffield Health hospital.

Mr James Smith does not hold any paid advisory role(s) at this hospital or on behalf of Nuffield Health.