Effects of smoking on healing of distal femur intra-articular fractures, treated with distal femur locking compression plate

Abstract

Background: The aim of this study was to identify the effect of smoking on bone healing and other complications encountered in treatment and follow up of distal femur fracture. Methods: A total of 54 patients with AO type B and C Distal femur fracture were included during the study period. All the patients were treated with distal locking compression plating. Functional outcome was recorded on the basis of American knee society scoring system. Results: The mean radiological union time and incidence of post-operative infection was significantly higher in smoker as compared to non-smokers. Total American knee society score was similar in both the groups. Conclusion: Smoking affects the fracture union in distal femur fracture patients. Smokers have more infection rate and more stiffness compared to non-smokers. It is recommended to stop smoking during fracture treatment.