Tobacco Use May Be Associated With Increased Revision and Complication Rates Following Total Hip Arthroplasty |
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Authors: | Bhaveen H. Kapadia Kimona Issa Robert Pivec Peter M. Bonutti Michael A. Mont |
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Affiliation: | 1. Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland;2. Bonutti Clinic, Effingham, Illinois |
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Abstract: | 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. |
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Keywords: | tobacco use revision total hip arthroplasty |
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