Mr Nick Smith

Mr Nick Smith is a Consultant Specialist Knee Surgeon based at Warwick Nuffield Hospital and University Hospitals Coventry and Warwickshire NHS Trust. He is widely regarded as one of the UK’s leading surgeons in complex knee surgery. He completed specialist training on the Warwick programme, followed by advanced fellowships in Exeter and Bristol, and a travelling fellowship in the USA, gaining expertise in advanced and specialist knee procedures.

His practice encompasses ACL reconstruction, meniscal surgery, cartilage restoration, osteotomy, and partial and total knee replacement. He is internationally recognised for his work in meniscal surgery, running one of the largest meniscal practices in Europe, with particular expertise in complex meniscal repair and transplantation. His clinical work is underpinned by a leading research programme, with nearly £4 million in funding and multiple high-impact clinical trials advancing modern knee surgery.

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Speciality Orthopaedics
Areas of Expertise Knee
GMC Number 6147514
  • ACL Reconstruction

    The anterior cruciate ligament (ACL) is one of the main stabilising ligaments in the knee. It prevents the shin bone from moving forwards and controls rotation.

  • Knee Replacement

    A knee replacement is a surgical procedure in which the damaged surfaces of the knee joint are replaced with artificial components made of metal and plastic.

  • Meniscal surgery

    The meniscus is a cushion in the knee. It helps to spread out the forces through the knee when doing activities.

  • Partial knee replacement

    Nick Smith has published the clinical outcomes following partial knee replacement using the newer Oxford Cementless partial knee implant.

  • Osteotomy

    A knee osteotomy is a surgical procedure used to realign the bones around the knee to improve joint function and reduce pain.

  • Meniscal Transplantation

    A meniscal transplant involves replacing a missing or severely damaged meniscus with a donor (allograft) meniscus.

  • Multiligament Knee Injuries

    A multiligament knee injury occurs when two or more of the major stabilising ligaments of the knee are torn.

  • Meniscal Repair

    The meniscus is a C-shaped piece of cartilage in the knee that acts as a cushion and helps transmit load evenly across the joint.

  • Meniscal Root Repair

    The meniscal roots are the points where the meniscus attaches to the bone (tibia). These attachments are critical for allowing the meniscus to function properly.

Patient Care

Nick Smith is passionate about improving clinical outcomes for patients. During his training, he completed a PhD on meniscal allograft transplantation, completing the world’s first pilot randomised controlled trial on the subject, and winning a number of awards, including the Robert Jones medal. He is a co-applicant on a multinational meniscal transplant trial, that will recruit patients from all corners of the world, in order to fully understand the treatment. He now has one of the highest volume meniscal transplantation practices in Europe, and uses this experience to perform meniscal repair surgery, including meniscal root repairs.

Private Practice