Does smoking affect the quality of bone regenerate in paediatric limb reconstructive surgery?
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 19308533.
- Also identified by DOI 10.1007/s11832-007-0058-9 and PMC identifier 2656748.
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Abstract
To bring to the attention of the orthopaedic fraternity that adolescent children smoke and this has an adverse effect on the bone regenerate during limb deformity corrective surgery. Retrospective review of patients undergoing limb deformity corrective surgery with a prolonged frame time and bone-healing index. Patients operated on between 1993 and 2005 in a single regional specialist paediatric orthopaedic hospital. Seventeen smoking patients (16 adolescent, one aged 9 years), with prolonged bone regenerate consolidation time of more than double the standard time. Bone-healing index (BHI) was increased in both active smokers and passive smokers. In the older child/adolescent we should consider smoking (active or passive) as a detrimental factor in prolonging their frame times. We should council these patients and their carers to stop smoking at least during the period of their treatment.