Mat Smith

MB ChB, MRCS(Eng), FRCS(TR & Orth), PGDip

Medical Expert Witness: Shoulder and elbow specialist

Mat Smith Photo

I am a Consultant Orthopaedic Surgeon with a subspecialist interest in shoulder and elbow complaints. I hold a substantive position at one of the UK's leading NHS Trusts and I've spent the past decade providing expert evidence in both claimant and defendant Medico-legal cases.

I currently work from consulting venues in Liverpool and Manchester. If you would like me to provide a report for your next case, please do get in touch.

I have looked at the report prepared by Matthew Smith. I ought to say that I am highly impressed by his report. It is a pleasure to read such a well-reasoned and carefully analysed report. This should be the position in every case and is not a computerised report. Not a form filling exercise. Your client should be grateful that his solicitors have gone to a decent expert and not a secondhand report.

Transcript of Judge's comments

I would also like to extend my thanks for all your hard work and support in this case. I have really enjoyed working with you.

Partner of Plexus Law

Current Practice

Your shoulder and elbow specialist

I've been a Consultant at The Liverpool University Hospitals NHS Foundation Trust since September 2009.

While I undertake all aspects of routine shoulder surgery and most aspects of routine elbow surgery, I spend a significant amount of my time treating tertiary referral patients with complex conditions. This includes undertaking procedures practiced by just a few appropriately skilled surgeons. In fact, surgeons regularly visit our unit to view live shoulder replacement surgeries and learn up to date techniques, such as CT guided navigation.

I'm also the Shoulder & Elbow Lead for The Department of Trauma and Orthopaedics and hold a number of management responsibilities within that role, including managing the surgical service and overseeing all clinical negligence allegations for the entire Trauma & Orthopaedic Service.

Delivering claimant and defendant reports

Through my growing Medico-legal practice, I deliver reports for both claimant and defendant solicitors, dealing with cases relating to shoulder and elbow complaints.

I work in both the personal injury and clinical negligence arenas, and aim to provide fair, unbiased reports for the assistance of the court. Increasingly, instructions are relating to more complex and higher value cases.

Private practice: The Spire Liverpool Hospital

As an Associate Partner of The Bone & Joint Centre, I predominantly practice from the Spire Liverpool Hospital, where I see and treat both private and NHS patients. I aim to provide an exceptional and personal service to all patients

Since October 2019, I have sat on the hospital's Medical Advisory Committee, providing clinical advice on Orthopaedic & Trauma matters.

Sharing my expertise

I have actively participated in teaching throughout my career, regularly supporting medical students from Manchester and Liverpool Universities in the clinic, on the ward and in lecture-based sessions.

Since becoming a Consultant, my involvement in teaching has increased further. I have joined the faculty of a number of prestigious national courses and run a number of specialist shoulder courses often aimed at established consultants wanting to hone their skills.

In recent times, I've started teaching in the Medico-legal arena, delivering small, informal training sessions and larger lectures. I was even involved in creating the shoulder section of the MedCo accreditation course.

Clinical Management Roles
  1. Shoulder & Elbow Lead, Liverpool University Hospitals NHS Foundation Trust. November 2019 to date.
  2. Orthopaedic Representative, Spire Liverpool Hospital's Medical Advisory Committee, October 2019 to date
  3. Trauma & Orthopaedic Medicolegal lead - 2018 to date
  4. Associate Clinical Director for Trauma & Orthopaedics (Upper Limb), The Royal Liverpool and Broadgreen University Hospitals NHS Trust. June 2012 – November 2019

Employment History

Fellowship Experience

Shoulder Fellow, The Royal Liverpool and Broadgreen University Hospitals NHS Trust
August 2008 – July 2009.
Consultant: Mr P Brownson.
Special Interest: Shoulder and Elbow Surgery.

Upper Limb Fellow, The Royal Preston Hospital
May 2008 – July 2008.
Consultants: Mr D M R Redfern & Mr M J Woodruff.
Specialist Interest: Hand, Wrist and Elbow Surgery.

Upper Limb Fellow, The Royal Preston Hospital
August 2007 – April 2008.
Consultants: Mr R S Bale & Mr P Hughes.
Specialist Interest: Shoulder & Elbow Surgery.

Upper Limb Fellow, Wrightington Hospital
February 2007 – July 2007.
Consultant: Mr L Funk.
Specialist Interest: Shoulder & Elbow Surgery.

Specialist Registrar Training
Year 5

Specialist Registrar in Orthopaedics,
North Western Deanery:
August 2006 – February 2007.
Consultant: Mr S A Khan.
Hope Hospital.
Specialist Interest: Trauma and
Reconstructive Surgery

Year 4

Specialist Registrar in Orthopaedics,
North Western Deanery:
February 2006 – August 2006.
Consultant: Mr T Khan.
Booth Hall Children's Hospital.
Specialist Interest: Paediatrics.

August 2005 – February 2006.
Consultant: Mr P M Phaltankar.
North Manchester General Hospital.
Specialist Interests: Knee Surgery;
Soft Tissue & Arthroplasty

Year 3

Specialist Registrar in Orthopaedics,
North Western Deanery:
February 2005 – August 2005.
Consultants: Mr M Pena & Mr B N Muddu.
Tameside General Hospital.
Specialist Interests: Lower Limb
Arthroplasty, Paediatrics, Upper Limb
Surgery (respectively).

August 2004 – February 2005.
Consultant: Mr E M H Obeid.
Tameside General Hospital.
Specialist Interest: Knee Arthroplasty

Year 2

Specialist Registrar in Orthopaedics,
North Western Deanery:
February 2004 – August 2004.
Consultants: Mr V B Shah.
Blackburn Royal Infrmary.
Specialist Interest: Lower Limb Arthroplasty.

August 2003 – February 2004.
Consultants: Mr R W Paton & Mr K Sharpe.
Blackburn Royal Infrmary.
Specialist Interests: Paediatrics & Upper
Limb Surgery (respectively).

Year 1

Specialist Registrar in Orthopaedics,
North Western Deanery:
February 2003 – August 2003.
Consultant: Mr B Ilango.
Fairfeld General Hospital.
Specialist Interest: Lower Limb Arthroplasty.

August 2002 – February 2003.
Consultant: Mr A I A Hegab.
Fairfeld General Hospital.
Specialist Interest: Knee Surgery

Post MRCS SHO Orthopaedic Experience

February 2002 – August 2002:
Senior House Officer in Orthopaedic and Trauma Surgery.
Consultants: Mr R S Bale & Mr S A Khan.
The Royal Preston Hospital.
Specialist Interests: Shoulder Surgery and Trauma Surgery (respectively).

August 2001 – February 2002:
Senior House Officer in Orthopaedic and Trauma Surgery.
Consultants: Mr D M Lang & Mr N M Kurdy.
South Manchester University Hospitals Trust.
Specialist Interests: Knee Surgery and Foot & Ankle/Paediatric Surgery (respectively).

February 2001 – August 2001:
Senior House Officer in Orthopaedic and Trauma Surgery.
Consultant: Mr L G H Jacobs.
The Royal Oldham Hospital.
Specialist Interest: Upper Limb Surgery.

Pre MRCS Experience

August 1998 – February 2001.
Basic Surgical Training Rotation
at The Royal Oldham Hospital.

August 1997 – August 1998.
House Officer Posts at North Manchester
General Hospital.

August 2000 – February 2001.
Senior House Officer in Vascular Surgery.
Consultant: Mr N R Hulton.

May 1998 - August 1998.
House Officer in Care of the Elderly.
Consultant: Dr V Khanna.

February 2000 – August 2000.
Senior House Officer in General/Upper G.I. Surgery.
Consultant: Mr D Flook.

February 1998 - May 1998.
House Officer in General Medicine.
Consultant: Dr D R Shreeve.

August 1999 - February 2000.
Senior House Officer in Urology.
Consultants: Mr N K Sharma & Mr S D Chowdhury.

November 1997 - February 1998.
House Officer in General Surgery.
Consultant: Mr D J Sherlock.

February 1999 - August 1999.
Senior House Ofifcer in Accident and Emergency Medicine.
Consultants: Mr P Sujit-Kumar & Mr P K Luthra.

August 1997 - November 1997.
House Officer in Orthopaedic Surgery and Trauma Surgery.
Consultants: Mr J P Hodgkinson, Mr A D Clayson & Mr J Day.

August 1998 - February 1999.
Senior House Officer in Orthopaedic and Trauma Surgery.
Consultant: Mr C S Kolb.

Research

Peer Reviewed Full Papers Published

Prevention of Perioperative Hypothermia: A Prospective, Randomized, Controlled Trial of Bair Hugger Versus Inditherm in Patients Undergoing Elective Arthroscopic Shoulder Surgery.
P Ralte, F Mateu-Torres, J Winton, J Bardsley, MG Smith, M Kent, D Sethuraman, I Guisasola. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 36, No 2 (February), 2020: pp 347-352

What is the correlation between patient-reported outcome measure (PROM) scores and patient satisfaction following elective reverse total shoulder replacement?
R Daw, J Gibson, MG Smith.
Shoulder and Elbow 2019. Vol 11(2S) 42-47

Long Contoured Locking Plate Fixation of Traumatic Proximal Humeral Fractures with Distal Extension.
JJ George Malal, A I W Mayne, A M Noorani, F Arouri, M Kent, M Smith, I Guisasola, P Brownson.
Shoulder & Elbow 2015 vol 7(1) 18-23

View more

Manipulation or Intra-articular Steroids in the Management of Adhesive Capsulitis of the Shoulder?
A Prospective Randomised Trial. LGH Jacobs, MG Smith, SA Khan, K Smith, M Joshi.
JSES Volume 18, Issue 3, Pages 348-353 (May 2009)

Internal Fixation of Fractures of the Proximal Humerus with a Humeral Fixator Plate (PlantTan Plate): A Two Year Follow-up.
MG Smith, LGH Jacobs, LN Banks, JG Warner, BS Sylvester, RS Bale.
Acta Orthop. Belg; 2008, 74, 735-746.

MediVol: An Initial Study into Real Time, Interactive 3D Visualisation of Soft Tissue Pathologies.
R Aspin, MG Smith, C Hutchinson, L Funk.
Distributed Simulation and Real-Time Applications. 2008, 103-110.

Delayed Release of Drain in Total Knee Replacement Reduces Blood Loss - A Prospective Randomised Study.
N Roy, MG Smith, M Anwar, CF Elsworth.
Acta Orthop. Belg; 2006, 72(1):34-8.

Wound Infection in the Management of Hip Fractures: A Comparison Between Low-Molecular Weight Heparin and Mechanical Prophylaxis.
J Sanchez-Ballester, MG Smith, K Hassan, S Kershaw, CF Elsworth, LGH Jacobs.
Acta Orthop. Belg; 2005, 71(1):55-9.

The Treatment of Osteoporosis – Missed Opportunities in a Hospital Fracture Clinic.
MG Smith, P Dunkow, DM Lang.
Ann R Coll Surg Engl 2004; 86: 344-346.

Peer Reviewed Case Reports Published

Metastatic pathological fracture of the surgical neck of humerus during manipulation under anaesthesia for adhesive capsulitis.
Ayman Gabr, Helen Mackay, Andrew Dunn, Peter Brownson, Matthew Guy Smith.
European Journal of Orthopaedic Surgery & Traumatology May 2011, Volume 21, Issue 4, pp 289-292

Infantile Digital Fibromatosis.
C Talbot, T Khan, MG Smith.
Journal of Paediatric Orthopaedics B. 16(2):110-112, March 2007.

Diphtheroid Infection of a Total Knee Arthroplasty Following Femoral Percutaneous Transluminal Coronary Angioplasty.
AM Conway, MG Smith, M Obeid.
Acta Orthop. Belg; 2006, 72 (3): 366-368.

View more

Metastatic pathological fracture of the surgical neck of humerus during manipulation under anaesthesia for adhesive capsulitis.
Ayman Gabr, Helen Mackay, Andrew Dunn, Peter Brownson, Matthew Guy Smith.
European Journal of Orthopaedic Surgery & Traumatology May 2011, Volume 21, Issue 4, pp 289-292

Infantile Digital Fibromatosis.
C Talbot, T Khan, MG Smith.
Journal of Paediatric Orthopaedics B. 16(2):110-112, March 2007.

Diphtheroid Infection of a Total Knee Arthroplasty Following Femoral Percutaneous Transluminal Coronary Angioplasty.
AM Conway, MG Smith, M Obeid.
Acta Orthop. Belg; 2006, 72 (3): 366-368.

Persistent Diastasis in a Maisonneuve Fracture - Interposition of a Tibial Osteochondral Fragment: A Case Report.
MG Smith, E Ferguson, NM Kurdy.
J Foot Ankle Surg. 2005 May-Jun; 44(3):225-7.

Fixion – An Infatable or Defatable Nail?
MG Smith, SC Canty, SA Khan.
Injury, Int. J. Care Injured (2004) 35, 329-331.

Fracture of an Elastic Humeral Nail: A Case Report.
MG Smith, R Hashmi, L Jacobs.
Acta Orthop Belg; 2003 Apr; 69(2):204-5.

Stress Fracture of the Base of the Acromion.
N Roy, MG Smith, LGH Jacobs.
Ann Rheum Dis. 2002 Oct; 61(10):944-5.

Peer Reviewed Abstracts Published

Long Proximal Humerus Locking Plate Osteosynthesis for Complex Proximal Humeral Fractures.
JJ George Malal, A I W Mayne, A M Noorani, M Kent, M Smith, I Guisasola, P Brownson.
Orthopaedic Proceedings, 6th March 2013

The Northwest Experience of Using the "PlantTan" Plate for Internal Fixation of Proximal Humeral Fractures – The First 12 Months.
MG Smith, LN Banks, RS Bale, JG Warner, BS Sylvester, LGH Jacobs.
J Bone Joint Surg [BR] 2005; 87-B:SUPP II, P163.

Comparison of Manipulation Under Anaesthetic and Distension Injection in the Management of Frozen Shoulder.
LGH Jacobs, MG Smith, SA Khan.
J Bone Joint Surg [BR] 2005; 87-B:SUPP II.

View more

Delayed Release of Drain in Knee Replacement Reduces Blood Loss – A Prospective Randomised Study of 100 Patients.
N Roy, MG Smith, M Anwar, CF Elsworth.
J Bone Joint Surg [BR] 2004; 86-B:SUPP III.

Audit of Treatment for, or Investigation of, Osteoporosis Following Osteoporotic Distal Radial Fractures.
MG Smith, P Dunkow, DM Lang.
J Bone Joint Surg [BR] 2003; 85-B:SUPP II.

Osteoporosis: Missed Opportunities in an Important Target Group.
MG Smith, P Dunkow, DM Lang.
Ostoporosis International 2003 June, 14(Supp. 4): P37.

Initial Results Using a New Humeral Fixator Plate (The "PlantTan" Plate) for Fractures of the Proximal Humerus.
MG Smith, LGH Jacobs, J Sanchez-Ballester, F Jepson, S Kershaw.
J Bone Joint Surg [BR] 2003; 85-B:SUPP I.

The Treatment of Osteoporosis – Missed Opportunities in the Hospital Fracture Clinic.
MG Smith, P Dunkow, DM Lang.
Osteoporosis International. 2002 Nov, 13(supp. 3): S22.

Wound Infection in the Management of Hip Fractures.
MG Smith, J Sanchez – Ballester, K Hassan, D Lamb, S Kershaw, LGH Jacobs, CF Elsworth.
European Journal of Trauma. 2002, 28(Supp.1): 178.

Papers submitted for Publication

The Management of elbow (ulnohumeral) arthritis in the young active patient.
D Kotzamitelos, V Bhalaik, M Kent, MG Smith, R Parmar, P Brownson. Submitted to Orthopaedics & Trauma.

Augmented Glenoids in Shoulder Arthroplasty. Relationship with Pre-operative Planning and Navigation.
A Cohort Study. I Guisasola, MG Smith, M Kent, R Parmar, D Sethuraman, R Daw. Submitted to the Journal of Shoulder & Elbow Surgery.

Research in Progress

A Prospective Randomised Study to Compare Hemiarthroplasty with Reverse Total Shoulder Replacement for Fractures of the Proximal Humerus in the Elderly.

A Prospective Randomised Study to Compare Release with Release & Decompression in the Frozen Shoulder.

Kinematics and Muscle Activation Profiles in Reverse Shoulder Arthroplasty: Is there a difference between patients with good and poor outcomes? Liverpool Hope University

SPeedy Trial – NIHR multicentre pilot study looking at surgery versus physiotherapy for traumatic rotator cuff tears.

Presentations

Podium Presentations

The Management of the Arthritic Shoulder including Arthroplasty.
MG Smith, Liverpool Hope University, July 2019

The Surgical and Medical Complications Following Shoulder Arthroplasty.
MG Smith, Liverpool Shoulder Arthroplasty Study Day, March 2019

How to Start a Medico-Legal Practice, Liverpool Advanced Arthroplasty Course.
MG Smith, Liverpool, Nov 2018.

View more

Does Achieving BESS Guidelines for the management of First Time Anterior Shoulder Dislocation Result in Better Management for All Patients.
M Jayatilaka, M Argyrpoulos, R Parmar, I Guisasola, M Kent, MG Smith, J Gibson, P Brownson. BESS Annual Conference, Glasgow, June 2018

RCT comparing hemi-arthroplasty and reverse polarity shoulder replacement for the treatment of proximal humerus fractures in the elderly – interim analysis.
Z Hakim, R Daw, P Wilkinson, J Malal, S Brookes-Fazakerley, M Smith, M Kent, I Guisasola, R Parmar, P Brownson. BESS Annual Conference, Glasgow, June 2018

ExactechGPS Shoulder Surgery: Our experience.
S Brookes-Fazakerley, MG Smith. Exactech Annual User Group, Glasgow, June 2018

The Introduction a Navigation System in Shoulder Arthroplasty.
S Brookes-Fazakerley, M Kent, I Guisasola, R Parmar, P Brownson, MG Smith. BESS Annual Conference, Glasgow, June 2018

Creating a Culture of Research: The Role of the Physiotherapy Fellow.
J Gibson, J Winton, MG Smith. NHS Research & Development North West Conference, Bolton, September 2014

The incidence and causative organisms of infection in elective shoulder surgery.
AS Bidwai, RE Cliford, DG Shivratre, M G Smith, Q Yin, P Brownson, I Guisasola. British Elbow and Shoulder Society Annual Congress, Nottingham, June 2014

Short-Term complications of the Laterjet procedure.
ASC Bidwai, MG Smith, I Guisasola, P Brownson. SICOT Trainees Meeting, June 2014.

Can Shoulder Arthroscopy Work? A teaching hospital experience of sub-acromial decompression for impingement syndrome.
ASC Bidwai, RA Stevenson, ME Kent, MG Smith, P Brownson, I Guisasola. British Elbow and Shoulder Society Annual Congress, Leicester, June 2013.

Tuberosity union in reverse shoulder arthroplasty for proximal humerus fractures.
JJ George Malal, A Noorani, M Kent, M Smith, I Guisasola, P Brownson. SICOT Orthopaedic World Conference, Dubai, Nov 2012.

Outcomes of the long PHILOS plate for open reduction and internal fxation of complex proximal humerus fractures.
AIW Mayne, JJ George Malal, A Noorani, M Smith, I Guisasola, P Brownson. British Trauma Society Annual Scientifc Meeting, Leeds, May 2012

MediVol: An Initial Study into Real Time, Interactive 3D Visualisation of Soft Tissue Pathologies.
R Aspin, M Smith, C Hutchinson, L Funk. International Symposium on Distributed Simulation and Real-Time Applications, Vancouver October 2008.

Single or Double Row Rotator Cuf Repair?
L Funk, M Smith, S Crotty. Nordic Advanced Arthroscopy Meeting, Oslo April 2008.

Results of Single Row Arthroscopic Rotator Cuf Repair.
L Funk, M Smith, S Crotty. Annecy Shoulder Arthroscopy Course, March 2008.

Manipulation or Intra-articular Steroids in the Management of Adhesive Capsulitis of the Shoulder.
A Prospective Randomised Controlled Trial. MG Smith, SA Khan, LGH Jacobs. NWOA Meeting, Manchester, November 2005. Awarded Sir John Charnley Prize for Best Clinical Research Paper.

Frozen shoulder: inject or manipulate?
LGH Jacobs, MG Smith, SA Khan. European Society for Surgery of the Shoulder and Elbow, Rome, September 2005.

Initial Results Using a New Humeral Fixator Plate (The "PlantTan" Plate) for Fractures of the Proximal Humerus.
MG Smith, LN Banks, RS Bale, JG Warner, BS Sylvester, LGH Jacobs. The British Orthopaedic Association, Manchester, September 2004.

Carpal Tunnel Release – With or Without Tourniquet?
S Kershaw, MG Smith, J Sanchez-Ballester, K Buch. The British Orthopaedic Association, Manchester, September 2004.

Comparison of Manipulation Under Anaesthetic and Distension Injections in the Management of Frozen Shoulder.
LGH Jacobs, MG Smith and SA Khan. British Elbow & Shoulder Society, Gwent, June 2004.

The Northwest Experience of Using The "PlantTan" Plate for Internal Fixation of Proximal Humeral Fractures – The First 12 Months.
MG Smith, LGH Jacobs, RS Bale, JG Warner, LN Banks, BS Sylvester. British Elbow & Shoulder Society, Gwent, June 2004.

Carpal Tunnel Release – With or Without Tourniquet?
S Kershaw, MG Smith, J Sanchez-Ballester, K Buch. The British Society for Surgery of the Hand, London, October 2003.

Internal Fixation of Fractures of the Proximal Humerus with a Humeral Fixator Plate (The PlantTan Plate): A One Year Follow up.
MG Smith, LN Banks, LGH Jacobs, RS Bale, J Sanchez-Ballester, S Kershaw, JG Warner, BS Sylvester.NWOA Meeting, Bolton, October 2003.

Initial Results Using the PlantTan Plate for Fractures of the Proximal Humerus.
LN Banks, MG Smith, LGH Jacobs, RS Bale. British Trauma Society, West Ham, October 2003.

Extent of Arthritis in the Knee: Predictive Value of Radiographs.
R Samuel, P Dunkow, MG Smith, DM Lang. The British Orthopaedic Association, Birmingham, September 2003.

The Treatment of Osteoporosis – Missed Opportunities.
MG Smith, P Dunkow, DM Lang. AAOS, New Orleans, February 2003.

Audit of Treatment for, or Investigation of, Osteoporosis Following Osteoporotic Distal Radial Fractures.
MG Smith, P Dunkow, DM Lang. BOA, Cardif, September 2002.

PlantTan Plate: The Early Year – 4 Centres.
MG Smith, J Sanchez – Ballester, S Kershaw, R Vhadra, LGH Jacobs, RS Bale. Northwest Regional Orthopaedic Association Meeting, Oldham, April 2002. Carpal Tunnel Release – With or Without Tourniquet? S Kershaw, MG Smith, J Sanchez-Ballester, K Buch. Northwest Regional Orthopaedic Association Meeting, Oldham, April 2002.

PlantTan Plate: The Early Year.
LGH Jacobs, MG Smith, J Sanchez – Ballester, S Kershaw, R Hashmi. Controversies in Shoulder and Elbow Surgery Conference, London, June 2001.

Delayed Release of Drain in Total Knee Replacement.
N Roy, MG Smith, M Anwar, MH Hafah, S Mitchell, CF Elsworth. Northwest Regional Orthopaedic Association Meeting, Bolton, November 2000.

Infection: Whose Fault is it Anyway?
MG Smith, JP Hodgkinson, R Goel. Northwest Regional Orthopaedic Association Meeting, Bolton, November 1997.

Poster Presentations

Analysis of the Influence of Physiotherapist Grade and Training on Patient Outcomes Following Reverse Total Shoulder Arthroplasty.
R Daw, Jo Gibson, MG Smith, AHP Conference, June 2018

Complications and Radiological Outcomes of PHILOS Plate Fixation for Proximal Humeral Fractures: A University Hospital Experience.
A Gabr, S Chan, A Ebinesan, M Smith, I Guisasola, M Kent Mersy Registrar Day, July 2016

Preparing for Complexity - Exploring Musculoskeletal Co-Morbidity as a Prognostic Indicator of Short Term Outcome Following SUbacromial Decompression.
J Winton, J Gibson, MG Smith European Region Congress of Physical Therapists, Liverpool, Nov 2016

View more

Preparing for Complexity - Exploring Musculoskeletal Co-Morbidity as a Prognostic.
J Winton, J Gibson, MG Smith

The Association of Trauma & Orthopaedic Chartered Physiotherapists Annual Conference.
Oxford, Nov 2016. Awarded "Best MSc Abstract Submission" Prize.

Developing Advanced Practitioners for the Modern NHS - The Role of the Physotherapy.
Fellow J Winton, J Gibson, MG Smith

European Region Congress of the World Confederation of Physical Therapists.
Liverpool, Nov 2016

Developing Advanced Practitioners for the Modern NHS - The Role of the Physotherapy.
J Winton, J Gibson, MG Smith
Physio UK Annual Conference, Liverpool, October 2015.

Replace, restore, remove? Complications associated with operative treatment of Mason type 3 and 4 fractures of the radial head.
RJ MacFarlane, AS Bidwai, N Mehta, I Guisasola, MG Smith, P Brownson SICOT Trainees Meeting, London, June 2014

Clinical Outcome and Complications assciated with parallel plating technique for the operative treatment of complex distal humerus fracture.
RE Cliford, AS Bidwai, DG Shivratre, MG Smith, C Sinopidis, I Guisasola. SICOT Trainees Meeting, London, June 2014.

The outcome of arthroscopic surgical interventions in the treatment of bursal-sided partial rotator cuf tears.
ASC Bidwai, MG Smith, ME Kent. SICOT Trainees Meeting, London, June 2014.

Results of long PHILOS plate osteosynthesis of complex proximal humeral fractures.
JJ George Malal, A I W Mayne, A M Noorani, M Smith, I Guisasola, P Brownson. SICOT Orthopaedic World Conference, Dubai, Nov 2012.

Acromion reconstruction using iliac crest autograft following acromionectomy: long term outcome in seven patients.
D Wharton, A M Noorani, J Malal, M Kent, M Smith, I Guisasola , P Brownson. British Elbow & Shoulder Surgery annual conference, Torquay, June 2012.

Long proximal humerus locking plate osteosynthesis for complex proximal humerus fractures.
JJ George Malal, A I W Mayne, A M Noorani, M Kent, M Smith, I Guisasola, P Brownson. BOTA annual conference, June 2012.

The management of non-arthroplasty deep shoulder infection.
ASC Bidwai, ME Kent, MG Smith, I Guisasola, ASC Bidwai. Oxford Bone Infection Meeting, Oxford, February 2013.

Osteoporosis: Missed Opportunities in an Important Target Group.
MG Smith, P Dunkow, DM Lang. Ninth Bath Conference on Osteoporosis, Bath, June 2003.

Delayed Release of Drain in Total Knee Replacement Reduces Blood Loss - A Prospective Randomised Study of 100 Patients.
MG Smith, N Roy, M Anwar, CF Elsworth. EFFORT, Helsinki, June 2003.

The Treatment of Osteoporosis – Missed Opportunities.
MG Smith, P Dunkow, DM Lang. EORS, Helsinki, June 2003.

Delayed Release of Drain in Total Knee Replacement Reduces Blood Loss - A Prospective Randomised Study of 100 Patients.
MG Smith, N Roy, M Anwar, CF Elsworth. AAOS, New Orleans, February 2003.

Wound Infection in the Management of Hip Fractures.
J Sanchez – Ballester, M Smith, K Hassan, S Kershaw, L Jacobs, C Elsworth. AAOS, New Orleans, February 2003.

The Treatment of Osteoporosis – Missed Opportunities in the Hospital Fracture Clinic.
MG Smith, P Dunkow, DM Lang. The Third International Symposium on Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, Barcelona, November 2002.

Initial Results Using a New Humeral Fixator Plate (The "PlantTan" Plate) for Fractures of the Proximal Humerus.
MG Smith, LGH Jacobs, J Sanchez-Ballester, F Jepson, S Kershaw. 16th Congress of SECEC/ESSSE, Budapest, September 2002.

Wound Infection in the Management of Hip Fractures.
MG Smith, J Sanchez – Ballester, K Hassan, D Lamb, S Kershaw, LGH Jacobs, CF Elsworth. The 5th European Congress for Trauma, Vienna, May 2002.

Audit

Audit of Equinox Arthroplasty Outcomes, July 2019.
This Audit assessed the outcomes of shoulder replacements in our unit

Management of 1st Time Shoulder Dislocations – 2nd Cycle, April 2018.
This Audit Assessed the implementation of The BESS Traumatic Dislocation Guidelines

Audit of Equinox Arthroplasty Outcomes, May 2018.
This Audit assessed the outcomes of shoulder replacements in our unit

View more

Audit of Equinox Arthroplasty Outcomes, January 2017.
This audit assessed the outcomes of shoulder replacements in our unit.

Audit of Equinox Arthroplasty Outcomes, January 2016.
This audit assessed the outcomes of shoulder replacements in our unit.

Shouder Arthroplasty Physiotherapy Service Review, September 2015
This audit reviewed patient and therapists opinons on the shoulder arthroplasty physiotherapy service.

Audit of Equinox Arthroplasty Outcomes, January 2015.
This audit assessed the outcomes of shoulder replacements in our unit.

Audit of Equinox Arthroplasty Outcomes, February 2014.
This audit assessed the outcom

Audit of Equinox Arthroplasty Outcomes, February 2014.
This audit assessed the outcomes of shoulder replacements in our unit. It is now an established prospective process.

Audit of the use of Clippers, Razors and Skin Tape for Hair Removal, March 2013.
This audit looked a various methods of preparing the skin and hair removal prior to surgery.

Audit of Awareness of surgical Marker Pens, October 2010.
This audit looked at potential cross contamination of skin as a result of the use of surgical marker on multiple patients on the day of surgery.

Audit of Shoulder USS Findings Compared to Arthroscopic Findings. October 2008.
This audit assessed pre-operative ultrasound fndings with intra-operative fndings comparing the USS findings of sonographer versus radiologist.

Audit of Arthroscopic Rotator Cuf Repair Results. June 2007.
This audit looked at the outcomes of arthroscopic rotator cuf repairs undertaken by Mr L Funk. The results were found to be comparable to those reported in the literature. This is being prepared for publication.

Upper Limb Physiotherapy for Patients with Muscular Dystrophy – Do they get it? August 2006.
This audit looked at whether children with Muscular Dystrophy received upper limb physiotherapy prior to becoming wheelchair bound.

Mortality and Morbidity. October 2005.
Presentation of deaths and complications, occurring during August and September, for patients under the care of Mr Phaltankar at NMGH and discussion of lessons to be learned.

Fast Tracking Fractured Neck of Femurs – Is it Working? January 2005.
This audit looked at 40 consecutive #NOF patients admitted to TGH. Reasons for delay of fast tracking from A&E and delay to surgery were identifed. Suggestions were made (and implemented) for improving the service. A trauma co-ordinator is now in post who will implement the change. A care pathway has been implemented subsequent to re-audit.

Audit of Treatment for, or Investigation of, Osteoporosis Following Osteoporotic Distal Radial Fractures.
Published - Ann R Coll Surg Engl 2004; 86: 344-346. This audit highlighted signifcant failings in investigatingand treating patients who clinically have osteoporosis. It was hoped to implement a computerised system to identify patients and refer them to primary care. Due to lack of support and alternative agendas of IT departments this has now been abandoned with the problem remaining unsolved.

'Adverse Events'. March 2002.
This is an ongoing audit of any adverse events occurring with inpatients at Royal Preston Hospital. Results are reported monthly.

Outcome of Patients Attending Prostate Assessment Clinic.
During my time in the Urology unit (August 1999 – January 2000), I designed and produced a database for prospective collection of data to be used in future audits.

The Use of The Ottawa Ankle Rules in the A&E Department. July 1999.
This audit reviewed the use of the Ottawa ankle rules and implemented changes to improve on actual practice.

Rates of Infection Following Total Joint Arthroplasty. March 1998.
The rates of superfcial wound infection following joint replacement surgery in a dedicated orthopaedic theatrewere compared to those in a theatre shared with general surgeons. Both were clean air theatres, and nodiference in infection rates was detected. They were lower than the gold standard in both theatres.

Courses & Meetings

Courses Attended

Informed Consent ..the debate, Leeds, September 2019

Good Clinical Practice re-certification, Online, April 2019

The Liverpool Advanced Shoulder Arthroplasty Course, Liverpool, November 2018

The Advanced Shoulder Arthroscopy Course, Clearwater – Florida, November 2017

The Advanced Shoulder Arthroscopy Course, San Antonia - Texas, October 2017

360 MSF Facilitator Training Course, Liverpool, December 2016

View more

Appraiser "Top Up" Training Course, Liverpool, August 2016

Clinical Negligence: Understanding the Developing Medical and Legal Issues, Wrightington, May 2016.

The Medico Legal Advanced Course, Manchester, January 2015

Mitek Arthrolatarjet Course, Coventry, April 2013.

Wrightington Shoulder and Elbow Course, Wrightington, May 2011.

AO - Tips for Trainers, Stratford- upon - Avon, March 2011.

AO - Advanced Principles of Fracture Management, Davos, December 2010.

The Nice Shoulder Course, Nice, May 2010.

Training the Trainers Course, RCS(Eng) London, May 2009.

ATLS Instructors Course, Harrogate, April 2009.

Wrightington International Shoulder Symposium, Wrightington, November 2008.

A.T.L.S Course., A.L.S.G., Manchester, June 2008.

Cadaveric Shoulder Course, Liverpool, June 2008.

Premex Essential Elements Seminar, May 2008.

Clinical Management Course for Specialist Registrars in Surgical Specialties, London, February 2008.

Advanced Arthroscopy of the Shoulder Course, Liverpool, November 2007.

Advanced Solutions in Shoulder Surgery Course, Annecy, October 2007.

Annecy Live Shoulder Surgery Course, Annecy, June 2007.

Business Skills just for Experts, Bond Solon.

Surgilig ACJ Reconstruction Course, Nottingham, May 2007

Excellence in Report Writing, Bond Solon, May 2007

Basic Shoulder Arthroscopy Course, Manchester, March 2007.

Sonosite Introductory Shoulder US Course, Hitchin, March 2007.

Oxford Clinical Course, Nufeld Orthopaedic Centre, October 2006.

The Orthoteer's Clinical Examination Course, Manchester, October 2006.

Wrightington Hand Course, Wrightington, October 2006.

Nottingham Basic Science Course, Queen's Medical Centre September 2006.

Birmingham Clinical Course for FRCS, Birmingham, September 2006.

Basic Sciences for FRCS Course, Bristol University, June 2006

Surgery of the Adult Foot and Ankle Course, RNOH, May 2006.

The Orthoteers Clinical Examination Course, Manchester, April 2006.

Wrightington Hand Course, Wrightington, April 2006.

Innovations in External Fixation Course, Manchester University, November 2005.

Anatomy Revision Course for FRCS(Orth & Tr), RCS(Eng), October 2005.

The Alder Hey Paediatric Course for FRCS (Orth & Tr), Liverpool, May 2005.

Open Shoulder Surgery Course, RCS(Eng), London January 2005.

4th Edinburgh International Instructional Trauma Course, Edinburgh, August 2004.

. Dundee Basic Knee Arthroplasty Course, Manchester, June 2004.

Dundee Basic Hip Arthroplasty Course, Manchester, June 2004.

Exeter Hip Symposium, Manchester, April 2004.

The Orthoteers Clinical Examination Course, Manchester, October 2003.

Current Concepts in Sporting Injuries Course, Manchester, November 2002.

The 6th Leeds Practical Knee Course, Leeds, November 2001.

Basic Techniques in Arthroscopic Surgery Course, London, November 2001.

AO - Principles of Operative Fracture Treatment Course for Surgeons, Leeds, July 2001.

Care of the Critically Ill Surgical Patient Course, Manchester, November 1999.

. A.T.L.S. Course, Whiston Hospital, Merseyside, June 1999.

Paediatric Life Support Course, Oldham Hospital, Oldham, March 1999.

Soft Tissue Injury Course, Oldham Hospital, February 1999.

Accident & Emergency Course, Oldham Hospital, February 1999.

Basic Surgical Skills Course, MRI, Manchester, October 1998.

Advanced Life Support Provider Course, NMGH, November 1997.

Radiation Protection

Meetings Attended

The BESS Meeting, Harrogate
June 2019.

The BESS Meeting, Glasgow
June 2018.

The BOA Annual Congress, Liverpool
September 2017.

The NWULG. Haydock
January 2017.

The BESS Meeting, Dublin
June 2016.

The NWULG. Haydock
May 2016.

View more

The NWULG. Haydock
November 2015.

The BOA Annual Congress, Liverpool
September 2015.

The BESS Meeting, Shefield
June 2015.

The NWULG. Haydock
May 2015.

The BESS Meeting, Nottingham
June 2014.

The NWULG. Haydock
May 2014.

The NWULG. Haydock
February 2014.

The NWULG. Haydock
November 2013.

The NWULG. Haydock
May 2013.

The NWULG. Haydock
February 2013.

The RLHOTS Meeting, London
July 2012.

The BESS Meeting, Torquay
June 2012.

The NWULG. Haydock
November 2011.

The NWULG. Haydock
May 2011.

The NWULG. Haydock
October 2011.

The BESS Meeting, Oxford
March 2010.

The NWULG. Haydock
March 2010.

The BESS Meeting, London
June 2009.

The NWOA Meeting, Bolton
November 2008.

The BESS Meeting, Liverpool
June 2008.

The NWOA Meeting, Bolton
November 2007.

The BESS Meeting, Telford
June 2007.

The NWOA Meeting, Bolton
November 2006.

The NWOA Meeting, Manchester University
November 2005.

The NWOA Meeting, Tameside
April 2004.

The NWOA Meeting, Bolton
November 2004.

The BOA Meeting, Manchester
June, 2004

The BESS Meeting, Gwent
June 2004.

The NWOA Meeting, Bolton
October 2003.

The BTS Meeting, West Ham
October 2003.

The NOS Meeting, Bath
June 2003.

The AAOS Meeting, New Orleans
February 2003

The Third International Symposium on Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, Barcelona
November 2002.

The BOA Meeting, Cardiff
September 2002.

The 5th European Congress for Trauma, Vienna
May 2002.

The NWOA Meeting, Oldham
April 2002.

Controversies in Shoulder and Elbow Surgery Conference, London
June 2001.

M60 Vascular Society Meeting, Oldham
January 2001.

Primary Care Conference in Orthopaedics, NMGH
January 1998.

Courses attended as a Faculty Member / Organised

The Merseyside Regional Registrar Teaching (Virtual Format), Liverpool, May 2020.

The Liverpool Shoulder Arthroplasty Course – Therapists Guide, Liverpool, September 2019

The Mersey Regional Trauma & Orthopaedic Arthroscopy Skills Course, Liverpool, May 2019

The Liverpool Shoulder Arthroplasty Study Day, Liverpool, March 2019

The Liverpool Advanced Shoulder Arthroplasty Course, Liverpool, November 2018

The Equinox Clinician Meeting, Glasgow, June 2018

View more

The Liverpool Nerves, Tendons & Pain Masterclass, Liverpool, May 2018

The Liverpool Registrar Arthroscopy Training Course, Liverpool, May 2018

The Merseyside Regional Registrar Training Day, Liverpool, June 2017

The Merseyside Mock FRCS Examination Day, Liverpool April 2017

The Liverpool Arthroplasty Image interpretation Course, Liverpool, September 2016

The Liverpool Instability Masterclass, Liverpool, May 2016

The Liverpool Registrar Arthroscopy Training Course, Liverpool, May 2016

Shoulder Arthroplasty Cadeveric Lab, Arezzo, April 2016

Othopaedic MSK Update, Liverpool, June 2015

The Liverpool Rotator Cuff Masterclass, Liverpool, May 2015

Whiplash and the shoulder - Lecture to Trainee Solicitors, Manchester, September 2014

Shoulder Lab - Team GB, Munich, November 2013

AO- Principles in Fracture Management, Leeds, June 2013

APIL “New to Personal Injury” Lecture, Manchester, March 2013.

The Mitek Basic Shoulder Arthroscopy Course, Manchester, October 2012.

The Mitek Intermediate Shoulder Arthroscopy Course, Liverpool, April 2012 – Course Organiser.

The Mitek Basic Shoulder Arthroscopy Course, Manchester, March 2012.

The Liverpool Instability Masterclass, Liverpool, November 2011 – Course Organiser.

The Mitek Basic Shoulder Arthroscopy Course, Manchester, October 2011.

The Mitek Intermediate Shoulder Arthroscopy Course, Liverpool, April 2011 – Course Organiser.

The Mitek Basic Shoulder Arthroscopy Course, Manchester, March 2011.

The Mitek Basic Shoulder Arthroscopy Course, Manchester, March 2010.

The Liverpool Advanced International Shoulder Symposium, November 2009.

The Orthoteers MSK Examination Course, Wrightington, May 2009 – Course Organiser.

The MRCS Clinical Course, Liverpool, October 2008.

The Orthoteers MSK Examination Course, Wrightington, May 2008 – Course Organiser.

The Orthoteers Clinical Examination Course, Manchester, January 2008.

The Orthoteers MSK Examination Course, Manchester, November 2007 – Course Organiser.

The Orthoteers Clinical Examination Course, Manchester October 2007.

The Orthoteers Clinical Examination Course, Manchester April 2007.

The Wrightington Hand Course, Wrightington, April 2007.

Visits to Eminent Surgeons

Mr Ravenscroft, Stepping Hill Hospital, Stockport
January 2013.

Dr Flurin, Clinique du Sport, Bordeaux
September 2011.

Dr Calvo, Fundacion Jimenez Diaz, Madrid
November 2010.

Dr Ekelund, Capio St Görans Hospital, Stockholm
October 2010.

Dr Van De List, The Bergman Clinic, Amsterdam
October 2010.

Dr La Fosse, Alps Surgery Institute, Annecy
October.

Education

2018

Revalidated by GMC with Full Licence to Practice.

2011

AO Tips for Trainers Course, March 2011.

2009

Advanced Trauma and Life Support Instructors course, April 2009.
Training the Trainers, May 2009.

2008

Equality and Diversity Certifcate, November 2008.
Entry onto Specialist Register, October 2008.
Certifcate of Completion of Training, October 2008.
Advanced Trauma and Life Support, June 2008.

2007

Business Skills just for Experts, Bond Solon, May 2007.
Excellence in Report Writing, Bond Solon, June 2007.

2006

Intercollegiate Specialty Board: FRCS (Tr & Orth), November 2006.

2001 - 2005

University of Dundee:
Diploma in Orthopaedics & Rehabilitation Technology with Merit award, March 2005.

1998 - 2000

Royal College of Surgeons of England, London: MRCS (Eng.), December 2000.

1991 - 1997

Manchester Medical School, Manchester: Bachelor of Medicine and Bachelor of Surgery.
University of Manchester, July 1997.

Awards / Prizes

Sir John Charnley Prize for the Best Clinical Research Paper.
(NWOA Annual Specialist Registrar Research Day, November 2005).

The British Elbow & Shoulder Society European Travelling Fellowship.
(The BESS Meeting, London, 2009).

Best MSc Abstract Submission Prize.
(The Association of Trauma & Orthopaedic Chartered Physiotherapists Annual Conference, Oxford, 2016)

Personal Details

Sex:

Male

Date of Birth:

03/11/1971

Place of Birth:

Pembury, Kent

Nationality:

British

Marital Status:

Married

Telephone:

07872 031 053

Email:

mat.g.smith@gmail.com

Website:

medicolegalshoulderexpert.com

Contact Details & Mailing Address

The Bone & Joint Centre
Spire Liverpool Hospital
57 Greenbank Road
Liverpool
L18 1HQ

General Medical Council Registration

Full Registration:

July 1998

GMC No.:

4401825

CCT date:

20th October 2008

Revalidated:

17th October 2018 (Full Licence to Practice)

Specialist Register Entry:

27th October 2008

Specialist Interests

Specialist upper limb trauma
General Trauma
Shoulder and elbow conditions

Indemnity

Premium Medical Protection

Memberships

The British Orthopaedic Association
The British Trauma Society
The British Medical Association
The North West Upper Limb Group
The British Elbow & Shoulder Society
The Royal College of Surgeons of England

Medicolegal Consulting Venues

The Bone & Joint Centre
Spire Liverpool Hospital
57 Greenbank Road
Liverpool
L18 1HQ

Medical Consulting Rooms
Calderbank Medical Chambers
599 Wilmslow Road
Didsbury
Manchester
M20 3QD

Rates & Terms

The following fees will apply to medico-legal work, with effect from 24 th July 2020.

Standard Medical Report

Includes notification of appointment, interview and examination of client. Does not include cost of any X-rays, or other investigations, and does not include time spent examining medical records.

£750-00

Medical Report – clinical negligence

Includes notification of appointment, interview and examination of client. Does not include cost of any X-rays, or other investigations, and does not include time spent examining medical records over and above first hour.

£350-00/hr
min £750-00

Examination of medical records

and/or X-rays (per hour)

£375-00

Failure to attend appointment (any reason)

A minimum of five working days' notice is required of any cancellation to avoid this fee being payable.

£150-00

Court attendance (per day, or part thereof)

This fee is payable regardless of whether actually called into Court, and therefore specifically includes time spent waiting outside Court.

£4500-00

Cancellation fee for Court attendance

If Court date is cancelled, with 28 days' notice or less, the whole fee for the warned dates is payable.
If Court date is cancelled with notice of 28 – 42 days , half of the fee is payable.
If Court date is cancelled with greater than 6 weeks' notice, no fee is payable.

Attendance at legal conference (per hour, or part thereof)

Time measured from leaving city centre of Liverpool and returning to city centre of Liverpool. Motor expenses or 1 st class travel extra.

£425-00

Cancellation fee for legal conference

The cancellation fee will depend on how long the conference was booked for, the travelling distance involved, and clinical commitments that had to be cancelled.
If legal conference is cancelled, with notice of 28 days or less, the whole fee for the warned dates is payable.

Telephone conference (per hour or part thereof)

£425-00

Correspondence (per letter)

Additional fee payable if more than two weeks since previous correspondence, at a rate varying with the amount of re-reading of material that is required.

£80-00

Notes for Instructing Solicitors

Solicitors instructions should be complete, and should contain an outline of the complaint

I have a subspecialty interest in shoulder and elbow surgery.

It is helpful to have a contact telephone number for the client, in case of late cancellation of the arranged appointment

Appointment times will be notified to clients directly whenever appropriate details are provided in letters of instruction

It is the referring solicitors' responsibility to ensure that the client attends at the instructed time and date. Defaulting from appointments will always result in a bill, unless a minimum of five working days' notice is received to telephone number 07872031053

If medical records are to be examined as part of the medical report, they must arrive in advance of the notified client appointment. Later arrival prevents incorporation of details into the report and will result in analysis in later letters.

Priority in correspondence is given to the preparation of reports, all other correspondence will be dealt with in date order received. This may result in delays in processing correspondence.

Medical reports are usually available within 6 weeks of the appointment date, but this time may be increased if an undue amount of correspondence (with associated court orders or pending limitation) is received that requires urgent processing.

Correspondence sent by a client directly to myself will be forwarded, unread, to the solicitor concerned.