Dr Nicholas Smith

MB BS (Hons), FRACS, FAOA

Dr Nicholas Smith was born in England, to Australian parents, the year man first walked on the moon. His family moved back to Sydney in the early 1970’s, so that his father could begin his practice as a plastic surgeon. He was determined to follow his father’s footsteps from a young age.

Whilst a medical student at the University of Sydney, he became fascinated by the hand and the musculoskeletal system. After graduating in 1992, he began hospital training at Royal North Shore Hospital, with the intent of pursuing orthopaedic training. He started on the orthopaedic training program in 1998 and developed twin interests of hand surgery and paediatric orthopaedic surgery. He was awarded his fellowship to the Royal Australasian College of Surgeons in 2001, in orthopaedic surgery.

Under the guidance of Professor Michael Tonkin, he began further training in hand, shoulder and elbow and paediatric orthopaedic surgery, both in Sydney and at Texas Scottish Rite Hospital in Dallas.

He began practice in Sydney in 2003, at the Children’s Hospital Westmead and in private practice at Specialty Orthopaedics. He joined the hand unit at Macquarie University Hospital in 2010.

He has contributed to the training of many orthopaedic and hand surgery trainees, acting as the training representative for the Children’s Hospital Westmead from 2004 until 2012 and the Chairman of the Northside Board of Studies for the Australian Orthopaedic Association from 2009 until 2012.

He has contributed to research in hand and upper limb surgery, with more than 70 presentations at national and international meetings, and numerous publications in peer reviewed journals. He remains passionately committed to the advancement of hand and wrist surgery, both at a research and clinical level.

He understands that in hand surgery, “the devil is in the detail”, both in surgical assessment and technique, and no less in meticulous aftercare. He is a self-proclaimed “helicopter doctor”, closely supervising patients after their surgery, to make sure they do not get off course in their recovery.

Memberships

He maintains active membership in the following professional bodies:

  • NSW hand surgery association – secretary 2014-2016, president 2019-2021
  • Australian hand surgery society
  • Asia Pacific Wrist Association
  • European Wrist Arthroscopy Associaton
  • International Dupuytren’s Society
  • Shoulder and elbow society of Australia
  • Australian Orthopaedic Association – Chairman of Sydney Northside Board of Studies, AOA, 2009 -2012
  • Royal Australian College of Surgeons
  • Australian Society of Orthopaedic Surgeons
  • Australian Medical Association

Research and Endeavours

  1. “Bizarre parosteal osteochondromatous proliferation, the NSW experience” N.C. Smith, A.Ellis, S. McCarthey, presented at Australian Orthopaedic Association (AOA) scientific meeting Melbourne, 1995.
  2. “Kaneda fixation device in thoracolumbar burst fractures” J.Evison, N.Smith, M. Ryan, S. Ruff, TKF Taylor, presented at New Zealand Orthopaedic Association, Christchurch, 1996.
  3. “C1/2 fusion using transarticular screw fixation” I Farey, J Green, N.Smith, presented at the AOA Spine Society Meeting, Port Douglas, 1996.
  4. “Clubfoot: intrinsic compartment pressure measurement related to outcome” N.Smith, M.Hanlon, M. Barnes, G. Lamb, R. Nicol, presented at Paediatric Orthopaedic Society of New Zealand meeting (prequel to world english speaking meeting) Queenstown, N.Z.
  5. “Supracondylar femoral fractures in children” N Smith, D Parker, D.McNicol, presented at AOA scientific meeting, Brisbane 1999.
  6. “The Effect of Zoledronate on a Rabbit Model of Distraction Osteogenesis” D.G. Little, N.Smith, C. Cowell. Presented at AOA AGM Hobart, 2000.
  7. “The Effect of Zoledronate on a Rabbit Model of Distraction Osteogenesis” Smith EJ, Smith NC, Briody J, C. Cowell, Gardiner EM, Little DG. Australia and New Zealand Bone and Mineral Society; Hamilton Island, Queensland Australia November 2000.
  8. “Zoledronic Acid Improves the Amount and Strength of New Bone Formation During Distraction Osteogenesis in Immature Rabbits”. NC. Smith, TMcEvoy, J Broidy, L Bilston, EJ Smith, P Williams, C Cowell, DG Little. Winner of best poster presentation, Australian and New Zealand Orthopaedic Research Society meeting October 2001.
  9. “Pseudorotation of the fifth metacarpal” N.Smith, N Hartnell, N Moncrief, J Ashwell. Presented at the AOA AGM Hobart, 2000. Winner of prize for best scientific paper at NSW Hand Surgery Society meeting, Bowral,NSW 2000
  10. “Apical Oblique View in Unilateral Traumatic Shoulder Instability” M Howard, N Hartnell, P Lucas, N Smith, D Duckworth. Presented at the AOA AGM Queenstown, New Zealand, October 2001.
  11. “Displaced midshaft clavicle fractures – a retrospective study comparing plating with intramedullary fixation” D.Duckworth, C.Vasili, N.Smith, D.Bokor. Scientific Exhibit, American Academy of Orthopaedic Surgeons Annual Meeting, Dallas, February 2002.
  12. “Paediatric distal humerus fractures” invited lecture at AOA COE May 2002
  13. Error in Radiographic Measurement of Shortening of Femur Fractures Treated in Spica Casts. NC Smith, J Birch. Combined Orthopaedic Associations Meeting, Darling Harbour, Oct 2004.
  14. “Neonatal Brachial Plexus Palsy: Long-term follow-up of patients with absent biceps function at three months.” Combined Orthopaedic Associations Meeting, Darling Harbour, Oct 2004.
  15. “Intraoperative Stability Testing of Lateral-Entry Pin Fixation of Pediatric Supracondylar Humeral Fractures” Shoulder and Elbow Society of Australia Meeting, Victor Harbour November 2006
  16. “Short term outcome following shoulder rebalancing surgery for sequelae of neonatal brachial plexus palsy” Shoulder and Elbow Society of Australia meeting, Victor Harbour November 2006
  17. “Keloid formation after syndactyly release- case reports and review of literature” with Michael Tonkin. 7th World Symposium on Congenital Malformations of the Hand and Upper Limb, Sydney March 2007
  18. “CMC instability after pollicisation” with Michael Tonkin 7th World Symposium on Congenital Malformations of the Hand and Upper Limb, Sydney March 2007
  19. “Epiphyseodesis of the distal ulna” NSW Hand Surgery Society AGM Woollongong November 2007
  20. “Pyrodisc for thumb CMCJ arthritis” NSW Hand Surgery Society AGM Woollongong November 2007
  21. “Limited incision plating for clavicle fractures” co-author with David Duckworth, Sheoulder and Elbow Society of Australia, Nov 2008, Perth
  22. “Phalangeal microgeodic syndrome” with P Markham, M Tonkin, J Chaitow NSWHSA, Windsor, Nov 2008
  23. “Tension band fixation of mallet fractures” NSWHSA, Windsor, Nov 2008
  24. “Volar dynamic instability of the distal radioulnar joint” NSWHSA, Windsor, Nov 2008
  25. “Phalangeal microgeodic syndrome” with P Markham, M Tonkin, J Chaitow. Australian Hand Surgery Society Mornington Peninsula, March 2009.
  26. “Inter and intra observer error in joint measurement of the hand and wrist” with K. Arogundade and N. Vigna. NSWHSA meeting Port Macquarie, Nov 2009.
  27. Mallet finger symosium. NSWHSA meeting Port Macquarie, Nov 2009.
  28. “Results from surgical treatment of forearm supination contracture following neonatal brachial plexus palsy” with F. Rannard and Michael Tonkin, NSWHSA meeting Port Macquarie, Nov 2009.
  29. “Intraobserver and interobserver error in clinical measurement of PIP, MCP and wrist angles.” Kunle Arogundade, Nadia Vigna and Nicholas Smith. NSWHSA meeting Port Macquarie, Nov 2009, and Australian Hand Surgery Society meeting Canberra, March 2010.
  30. “Short term results of “pyrodisc” arthroplasty for trapezio-metacarpal joint arthrosis.” Nicholas Smith, Michael Ward. NSWHSA, Hamliton Island Nov 2010.
  31. “Interosseous ligament reconstruction using FDS, an anatomical study in the cadaver” Nicholas Smith NSWHSA, Hamilton Island Nov 2010.
  32. “Neonatal brachial plexopathy” ASPS registrar symposium, invited lecture, Sydney, March 2011.
  33. “Basic principles of internal fixation” Medartis hand and wrist course, Sydney Hospital, September 2011
  34. “Bilateral Artelon aseptic inflammatory reaction” Tom Quick, Richard Lawson and Nicholas Smith. NSWHSA, Wyong, Nov 2011
  35. “The Development of a Congenital Classification – interobserver reliabilty. Tom Quick, Nick Smith, Richard Lawson, Michael Tonkin NSWHSA Wyong, Nov 2011.
  36. “The Moberg flap” RNSH flap course, February 2012
  37. “Pathophysiology of compressive neuropathy” AHSS registrar program Manly, March 2012
  38. “Tendinitis of the wrist and hand” AHSS registrar program Manly, March 2012
  39. “Tendon transfers for shoulder function after nerve injury” invited lecture AOA AGM hand symposium, Sydney, October 2012.
  40. “Timing of spontaneous recovery of active external rotation in neonatal brachial plexus palsy” Nicholas Smith, Alex Nicholls and Michael Tonkin. NSWHSA Leura, Nov 2012
  41. “Arthroscopic TFCC repair Korean style” Nick Smith, NSWHSA Leura, Nov 2012
  42. “Neonatal brachial plexus palsy and congenital hand differences” invited lecture APOS registar symposium, Noosa , November 2012.
  43. “NSW hand surgeons’ preferences regarding suspensionplasty after trapeziectomy” NSWHSA ASM Canberra Nov 2013
  44. “Timing of spontaneous recovery of active external rotation in neonatal brachial plexus palsy” Nicholas Smith, Alex Nicholls, Michael Tonkin, David McCombe, Mitch Seruya, Bruce Johnstone. AHSS ASM Gold Coast March 2014
    Winner best scientific paper Australian Hand Surgery Society, 2014.
  45. “Early experience and results with spinal accessory to suprascapular nerve transfer through a posterior approach in NBPP.” Nicholas Smith and Michael Tonkin. AHSS ASM Gold Coast, March 2014
  46. “Training in hand surgery- the ideal” – invited perspective, AHSS ASM Gold Coast, March 2014
  47. “Interosseous ligament reconstruction” Jonathan Bellity, Richard Lawson, Nick Smith. NSWHSA ASM Kiama November 2014.
  48. “Symposium – Thumb CMCJ OA – Pyrodisc” NSWHSA ASM Queenstown August 2015
  49. “How I do it : Open TFCC repair” NSWHSA ASM Queenstown August 2015
  50. “Paco’s dream – the end of CRPS” with Michael Ward. NSWHSA ASM Queenstown August 2015
  51. “Mini-symposium. Wound care” NSWHSA ASM Queenstown August 2015
  52. “Surgical anatomy of the medial antebrachial cutaneous nerve and an approach to its preservation” Nicholas Smith, Julie Chino. NSWHSA ASM Orange 2016
  53. “Corella’s arthroscopic scapholunate ligamentoplasty – some modifications to get it done in a single tourniquet time” Nicholas Smith, Julie Chino. NSWHSA ASM Orange 2016
  54. “Some useful advances in wrist arthroscopic technique – semi-dry arthroscpoy and volar radial portals” Nicholas Smith. NSWHSA ASM Orange 2016
  55. “Corella’s arthroscopic scapholunate ligamentoplasty – some modifications to get it done in a single tourniquet time” Nicholas Smith, Julie Chino. Australian Hand Surgery Society ASM Melbourne 2017
  1. “Surgical anatomy of the medial antebrachial cutaneous nerve and an approach to its preservation” Nicholas Smith, Julie Chino. Australian Hand Surgery Society ASM Melbourne 2017
  2. “Scapholunate insufficiency – a review of terminology and a new classification” Nick Smith, Julie Chino and Anne Wajon. Australian Hand Surgery Society ASM Melbourne 2017
  3. “Corella’s arthroscopic scapholunate ligamentoplasty – some modifications to get it done in a single tourniquet time” Nicholas Smith, Julie Chino. Asia Pacific Wrist Association meeting, Adelaide 2017
  4. “Scapholunate insufficiency – a review of terminology and a classification of arthroscopic laxity” Nick Smith, Julie Chino and Anne Wajon. Asia Pacific Wrist Association meeting, Adelaide 2017
  5. “Interference fit, through plate K-wires for temporary stabilisation of distal radius articular fragments during arthroscopic assisted reduction and locking plate fixation” Nick Smith and Julie Chino. NSWHSA ASM Hunter Valley, 2017.
  6. “Functional CT in the evaluation of scapholunate instability” Nick Smith, John Read. NSWHSA ASM Hunter Valley, 2017.
  7. “Scapholunate insufficiency – a review of terminology and a classification of arthroscopic laxity” Nick Smith, Julie Chino and Anne Wajon. NSWHSA ASM Hunter Valley, 2017.
  8. “Interference fit, through plate K-wires for temporary stabilisation of distal radius articular fragments during arthroscopic assisted reduction and locking plate fixation” Nick Smith and Julie Chino. Australian Hand Surgery Society meeting, March 2018, Perth
  9. “Functional CT in the evaluation of scapholunate instability” Nick Smith, John Read. Australian Hand Surgery Society meeting, March 2018, Perth
  10. “’Stepwise’ AARIF of intra-articular distal radius fractures – an evolution of technique and instrumentation.” NSWHSA ASM Wagga Wagga, December 2018
  11. “Arthroscopic assisted reduction and percutaneous fixation of a Bennett’s fracture.” with Nicholas Wilssens NSWHSA ASM Wagga Wagga, December 2018
  12. “Reconstruction of chronic distal biceps avulsion with allograft and Littler juncture – a case series” with Alex Nicholls and Anne Wajon. NSWHSA ASM Wagga Wagga, December 2018
  13. “Percutaneous neutralisation screw with scaphoid arthroscopic bone grafting” NSWHSA ASM Wagga Wagga, December 2018.
  14. Méthode “Stepwise” de réduction arthroscopique et de fixation par plaque des fractures intra-articulaires du radius – évolution de la technique et de l’instrumentation. GEM congrès SFCM, Paris, December 2018.
  15. Fixation par vis percutanée de neutralisation du scaphoïde lors d’une greffe osseuse par arthroscopie Percutaneous neutralisation screw fixation for arthroscopic bone grafting of scaphoid. GEM congrès SFCM, Paris, December 2018.
  16. Arthroscopic management of scaphoid injuries. EWAS wrist arthroscopy course, IRCAD, University of Strasbourg, February 2019
  17. Percutaneous neutralisation screw with arthroscopic bone grafting of the scaphoid. AHSS AGM Adelaide, April 2019
  18. “Stepwise”AARIF of intra-articular distal radius fractures – an evolution of technique and instrumentation. Australian Hand Surgery Society AGM, Adelaide, April 2019

Publications

  1. “Bizarre Parosteal Osteochondromatous Proliferation – the N.S.W. experience” Smith, A. Ellis, P. McNaught, S McCarthey. Austr NZ J Surg, September 1996.
  2. “Transarticular screw fixation versus the Magerl technique for C1/2 fusion” Farey, S. Nadkarni, N. Smith. Clin Orthop and Related Research, February 1999.
  3. “Supracondylar fractures of the femur in children” Smith, D Parker, D McNicol, J Pediatric Orthop 2001, 21:600-603
  4. “Bisphosphonates and Nephrocalcinosis in a rabbit leg lengthening model: A Histological and Therapeutic Comparison” P Williams, N Smith, C Cooke-Yardborough and D Little. Pharmacology and Toxicology 2001, 89, 149-152
  5. “Zoledronic acid prevents osteopenia and increases bone strength in a rabbit model of distraction osteogenesis.” Little DG; Smith NC; Williams PR; Briody JN; Bilston LE; Smith EJ; Gardiner EM; Cowell CT. J Bone Miner Res 2003 Jul;18(7):1300-7
  6. “Zoledronic acid improves the mechanical properties of normal and healing bone.” Clin Biomech (Bristol, Avon) 2002 Nov-Dec;17(9-10):716-8 Bilston LE; Little DG; Smith NC; Williams P; Briody
  7. “Pseudorotation of the fifth metacarpal” NC Smith, N Moncrieff, N Hartnell, J Ashwell. Journal of Hand Surgery (Br), June 2003.
  8. “Focal Fibrocartilaginous Dysplasia in the Upper Extremity”. NC Smith, P Carter, M Ezaki. J Pediatric Orthopaedics Nov –Dec 2004, 24(6) 700
  9. “Neonatal Brachial Plexus Palsy: Long-term follow-up of patients with absent biceps function at three months.” J Bone Joint Surg (Am) Oct 2004, 86-A p2163
  10. “Transient Disturbance in Physeal Morphology Is Associated With Long-Term Effects of Nitrogen-Containing Bisphosphonates in Growing Rabbits” Smith EJ; Little DG; Briody JN; McEvoy A; Smith NC; Eisman JA; Gardiner EM.  J Bone Miner Res 2005 Oct;20(10):1731-1741
  11. “IntraoperativeStabilityTesting of Lateral-Entry Pin Fixation of Pediatric Supracondylar Humeral Fractures” Michalis Zenios, FRCS(Orth), Manoj Ramachandran, FRCS(Orth), BenMilne, MBBS, DavidLittle, FRACS(Orth), PhD, and NicholasSmith, FRACS  J Pediatr Orthop 27(6) Sept 2007
  12. “Early combined neurosurgery and orthopaedic surgery in neonatal brachial plexus palsy.” Ram Palti, Max Horwitz, Nicholas Smith, Michael Tonkin. Hand Surg 16(2):155-9 Jan 2011
  13. “An Olecranon chondral flap and Osteochondral coronoid fracture in a spontaneously reduced elbow dislocation in a child.” Tom Quick, Paul Gibbons Nicholas Smith, J Paed Orthop (Br) Sept 2013: 22(5) 481-485
  14. “Classification of congenital anomolies of the hand and upper limb: development of a new system” Tonkin MA, Tolerton SK, Quick TJ, Harvery I, Lawson RD, Smith NC, Oberg KC. J Hand Surg (Am) 38:9 2103 Sept 1845-53
  15. “Case report of an ulcerated infantile digital fibromatosis in an older child. The lump to spot in the child’s hand (a spot not to lump in with the others)”. Tom Quick and Nicholas Smith. J Hand Surg (Eur) Vol April 11, 2013

 

Other academic awards and endeavours

  • “Pseudorotation of the fifth metacarpal” N.Smith, N Hartnell, N Moncrief, J Ashwell. Presented at the AOA AGM Hobart, 2000. Winner of prize for best scientific paper at NSW Hand Surgery Society meeting, Bowral, NSW  2000
  • “Zoledronic Acid Improves the Amount and Strength of New Bone Formation During Distraction Osteogenesis in Immature Rabbits”. NC. Smith, TMcEvoy, J Broidy, L Bilston, EJ Smith, P Williams, C Cowell, DG Little. Winner of best poster presentation, Australian and New Zealand Orthopaedic Research Society meeting October 2001
  • Co-convener of 7th World Symposium on Congenital Malformations of the Hand and Upper Limb, Sydney March 2007
  • “Timing of spontaneous recovery of active external rotation in neonatal brachial plexus palsy” Nicholas Smith, Alex Nicholls, Michael Tonkin, David McCombe, Mitch Seruya, Bruce Johnstone. AHSS ASM Gold Coast  March 2014
    Winner best scientific paper Australian Hand Surgery Society, 2014.
  • The Australian Hand Surgery Society Traveling Fellow for 2015
  • Secretary New South Wales Hand Surgery Society 2014-2015
  • Convenor of the New South Wales Hand Surgery Association Annual Scientific Meeting, Kiama 2014.
  • Convenor of the New South Wales Hand Surgery Association Annual Scientific Meeting, Queenstown NZ, 2015.
  • Reviewer for Journal of Hand Surgery (American) 2014 till current.
  • Reviewer for Journal of Hand Surgery (European) 2015 till current.
  • Member of hand surgery outreach team to Phnom Pehn, Cambodia 2012, 2013, 2014, 2015, 2017
  • Prize for most valuable contributor NSWHSA ASM Hunter Valley, 2017
  • Convenor of the Royal Australasian College of Surgeons ASM hand section, Sydney 2018.
  • President NSW Hand Surgery Association – 2019-2021
  • Convenor of the NSWHSA AGM Bowral 2019