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

• Published in: The Journal of arthroplasty Vol. 29; no. 4; pp. 777 - 780
• Main Authors: Kapadia, Bhaveen H., MD, Issa, Kimona, MD, Pivec, Robert, MD, Bonutti, Peter M., MD, Mont, Michael A., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-04-2014
• Subjects: Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip - adverse effects; Female; Hip Prosthesis - adverse effects; Humans; Male; Middle Aged; Orthopedics; Prosthesis Failure; Reoperation; revision; Risk Factors; Smoking - adverse effects; tobacco use; total hip arthroplasty; total hip arthroplasty; tobacco use; revision
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2013.08.023

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.