Tobacco Use May Be Associated With Increased Revision and Complication Rates Following Total Hip Arthroplasty

被引：60

作者：

Kapadia, Bhaveen H. ^{[1
]}

Issa, Kimona ^{[1
]}

Pivec, Robert ^{[1
]}

Bonutti, Peter M. ^{[2
]}

Mont, Michael A. ^{[1
]}

机构：

[1] Sinai Hosp, Rubin Inst Adv Orthoped, Ctr Joint Preservat & Replacement, Baltimore, MD 21215 USA

[2] Bonutti Clin, Effingham, IL USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 04期

关键词：

tobacco use; revision; total hip arthroplasty; POSTOPERATIVE COMPLICATIONS; BLOOD-FLOW; HUMAN-SKIN; SMOKING; RISK; INTERVENTION; REPLACEMENTS; POPULATION; OUTCOMES; SURGERY;

D O I：

10.1016/j.arth.2013.08.023

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to compare the clinical outcomes of total hip arthroplasty in patients who were smokers to patients who were non-smokers. All total hip arthroplasties performed between 2007 and 2009 were reviewed to identify patients who indicated tobacco use. There were 110 smokers who were matched in a 1: 2 ratio to 220 non-smoking patients. At a mean follow-up of 51 months (range, 24 to 72 months), smokers had an overall significantly lower survivorship of 92% (n = 9 revisions), compared to 99% (n = 2 revisions) in non-smokers. In addition, there were five complications in smokers (one pneumonia, three superficial infections, and one deep peroneal nerve palsy) compared to none in non-smokers. These results indicate that patients who smoke had higher overall revisions and postoperative complications. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：777 / 780

页数：4

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