Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know

Bone & Joint Research

article

J. Hernigou¹  F. Schuind² 

[1] Department of Orthopaedic and Traumatology Surgery, EpiCURA Hospital;Department of Orthopaedics and Traumatology, Erasme Hospital, Free University of Brussels

关键词: Nonunion;    Smoking;    Fractures;    Tobacco;    Cigarettes;   

DOI  :  10.1302/2046-3758.86.BJR-2018-0344.R1

学科分类：骨科学

来源: British Editorial Society Of Bone And Joint Surgery

【 摘 要 】

ObjectivesThe aim of this study was to review the impact of smoking tobacco on the musculoskeletal system, and on bone fractures in particular.MethodsEnglish-language publications of human and animal studies categorizing subjects into smokers and nonsmokers were sourced from MEDLINE, The Cochrane Library, and SCOPUS. This review specifically focused on the risk, surgical treatment, and prevention of fracture complications in smokers.ResultsSmokers have an increased risk of fracture and experience more complications with delayed bone healing, even if they have already stopped smoking, because some adverse effects persist for a prolonged period. Some risks can be reduced during and after surgery by local and general prevention, and smoking cessation is an important factor in lessening this risk. However, if a patient wants to stop smoking at the time of a fracture, the cessation strategies in reducing tobacco use are not easy to implement. The patient should also be warned that using e-cigarettes or other tobaccos does not appear to reduce adverse effects on health.ConclusionThe evidence reviewed in this study shows that smoking has a negative effect in terms of the risk and treatment of fractures.

【 授权许可】

CC BY-NC