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Smoking and Fracture Healing
Adverse effect of smoking
on Friday 21 November 2008
by Dr. Sanjay Jain author list
in Patient Education

Effect of Smoking on Early Complications After Elective Orthopaedic Surgery

Møller AM, Pedersen T, Villebro N, Munksgaard A
Journal of Bone and Joint Surgery - British. 2003;85(2):178-181 Cigarette smoking is considered to be a significant risk factor for pulmonary complications following surgery. Tobacco use has also been implicated as a risk factor for delayed fracture healing, failed spine and hindfoot fusions, and increased wound-healing problems. In this study, 811 consecutive patients who underwent hip or knee arthroplasty were studied. Covariates were current smoking and drinking habits, medical history, anesthetic, and type and duration of surgery. The outcome variable studied was the development of any postoperative complication occurring before hospital discharge.Overall, just over one quarter of the patients (28.6%) smoked, and smoking was demonstrated to be the most important risk factor for the development of postoperative complications. Wound-healing problems, cardiopulmonary complications, and the need for postoperative intensive care were the variables most strongly associated with smoking. Not surprisingly, an increased duration of hospitalization was seen for those patients who suffered a complication.This study provides important information for doctors and patients regarding the risk of complications in patients who smoke and who are considering hip or knee replacement. However, more research needs to be done to determine the period of abstinence necessary before arthroplasty to mitigate the increased risk. Patients who smoke should be encouraged to quit, and should be told that they face an increased risk of postoperative complications if they continue to smoke.
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Date published: Thu, 09 Sep 2010 01:19:06 GMT+00:00
Details
Latest Forum Posts
Re: Rolando fracture
This is what I could achive in fixing this fracture.Any suggesation? [/html]
Posted by Dr. Sanjay Jain
22 Aug : 00:07

Re: Rolando fracture
The pre op X ray is this. [/html]
Posted by Dr. Sanjay Jain
17 Jul : 07:38

6 wks old shoulder dislocation
This patient of head injury could not be diagnosed initially. Now it's more then[more ...]
Posted by Dr. Sanjay Jain
17 Jul : 07:34

Rolando fracture
This Pt of 24 yr had a road acc, and had a severly comm Fr base of Ist metacarpa[more ...]
Posted by Dr. Sanjay Jain
11 Jun : 01:32

Re: Can Anything be done for this Pt
Better to amputate and early prosthesisDrs. VBShukla, RCGupta, Santosh Anand,Deo[more ...]
Posted by Dr. V B Shukla
06 Mar : 10:02

Can Anything be done for this Pt
This pt was under tt of an RMP who promised to save his limb. What can be done n[more ...]
Posted by Dr. Sanjay Jain
15 Apr : 01:00

Re: Malunited # Base of Distal Ph in a Cricketer
attaching final photo. the arthodesis in consolidation phase. [/html]
Posted by Dr. Sanjay Jain
15 Apr : 00:48

elbow injury in a child
This 6 yrs old female had a injury 2-3 wks back. which trated by a local bone se[more ...]
Posted by Dr. Sanjay Jain
14 Apr : 02:29

Re: Malunited # Base of Distal Ph in a Cricketer
I think loss of movment at dip joint is of less significance. he was able to ach[more ...]
Posted by Dr. Sanjay Jain
14 Apr : 02:06

Re: Malunited # Base of Distal Ph in a Cricketer
what about the movement sir ? he is a cricketer !
Posted by Rakesh Singhal
10 Apr : 13:08

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