The effect of smoking on ACL reconstruction: a systematic review

Новиков, Д А; Swensen, Stephanie; Buza, John A.; Gidumal, Ramesh; Strauss, Eric J.

doi:10.1080/00913847.2016.1216239

Cited by 30 publications

(17 citation statements)

References 39 publications

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“…The results of this review regarding the effect of smoking on tendons are consistent with the findings reported in a previous systematic review by Bishop et al [ 16 ]. For ligaments, smoking was associated with poor functional and stability scores after ACL reconstruction, consistent with the findings in systematic reviews by Kanneganti et al [ 13 ] and Novikov et al [ 14 ] that reported negative effects of smoking on postoperative outcomes.…”

Section: Discussionsupporting

confidence: 87%

“…Another systematic review revealed an association between smoking and lumbar disc herniation [ 12 ]. Three other reviews found smoking was related to negative postoperative outcomes on knee ligaments [ 13 ], higher complication rates after anterior cruciate ligament (ACL) reconstruction [ 14 ], and slowed healing of rotator cuff repair [ 15 ]. Also, one review found smoking was associated with rotator cuff tears and other shoulder symptoms [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Tobacco Smoking on Musculoskeletal Health: A Systematic Review

Al-Bashaireh

Haddad

Weaver

et al. 2018

Journal of Environmental and Public Health

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This systematic review explored associations between smoking and health outcomes involving the musculoskeletal system. AMSTAR criteria were followed. A comprehensive search of PubMed, Web of Science, and Science Direct returned 243 articles meeting inclusion criteria. A majority of studies found smoking has negative effects on the musculoskeletal system. In research on bones, smoking was associated with lower BMD, increased fracture risk, periodontitis, alveolar bone loss, and dental implant failure. In research on joints, smoking was associated with increased joint disease activity, poor functional outcomes, and poor therapeutic response. There was also evidence of adverse effects on muscles, tendons, cartilage, and ligaments. There were few studies on the musculoskeletal health outcomes of secondhand smoke, smoking cessation, or other modes of smoking, such as waterpipes or electronic cigarettes. This review found evidence that suggests tobacco smoking has negative effects on the health outcomes of the musculoskeletal system. There is a need for further research to understand mechanisms of action for the effects of smoking on the musculoskeletal system and to increase awareness of healthcare providers and community members of the adverse effects of smoking on the musculoskeletal system.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The Effect of Tobacco Smoking on Musculoskeletal Health: A Systematic Review

Al-Bashaireh

Haddad

Weaver

et al. 2018

Journal of Environmental and Public Health

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“…The natural prognosis is inversely related to vulnerability as the risk factors that contributed to the occurrence of adverse outcomes are generally still in place (e.g. recovery rates of smokers vs. non-smokers differ [25–26]). At the same time, vulnerable individuals are a challenge in professional care as they require complex and often interdisciplinary case management [27] and dropout rates are high [28].…”

Section: Resultsmentioning

confidence: 99%

Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach

et al. 2019

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Background The concept 'vulnerability' is prevalent in the public domain, health care, social institutions and multidisciplinary research. Conceptual heterogeneity is present, hampering the creation of a common evidence-base of research achievements and successful policies. Recently an international expert group combined a specific literature review with a 2-stage Delphi procedure, arriving at a seemingly universal concept of vulnerability for the elderly with applications for research instruments. We replicated and extended this study, to generalize this result to health in general, and perinatal health in particular. Methods Two independent expert panels (general health, perinatal health) repeated the Delphi-procedure, using an extended and updated literature review to derive statements on the concept and defining pathways of vulnerability. Additional views were collected on research tools. Consensus-by-design was explicitly avoided. Data collection and processing was independent. Results Both panels showed surprising convergence on the pathways of vulnerability to health/ill-health, and their interaction. The agreed conceptual model describes a dynamic relation between health and ill-health and vulnerability. The 2 key pathways that link to vulnerability, are complementary, but not symmetrical as biological processes of maintaining health or obtaining better health are not reciprocal to recovery, so also not in terms of vulnerability impacts. An individual's degree of vulnerability is the net balance of risk effects and protective and healing factors (socially, biologically and in terms of health literacy and health care access). These factors can for measurement purposes (according to the panels: interview for exploration, checklists for population research) be grouped into ‘material resources’, ‘taking responsibility for one’s own health’, ‘risky activities and behaviors’, and ‘social support’. Supportive and transforming action can thus be undertaken. Conclusion A universal concept of vulnerability in the context of health was successfully derived after careful replication and extension of an international Delphi study on vulnerability among the elderly.

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“…A systematic review of 17 studies indicated that smoking was associated with significantly worse clinical outcome scores, an increased anterior translation (2.68 mm in smokers vs. 1.89 mm in non-smokers), and increased postoperative complication rates (infection and venous thromboembolism) after anterior cruciate ligament (ACL) reconstruction. 44 A national insurance database of 13,358 patients showed smokers had higher infection rate (2.0% vs. 0.9%; OR, 2.3, p < 0.001), higher incidence of venous thromboembolism (1.0% vs. 0.5%; OR, 1.9; p ¼ 0.035), and higher rate of subsequent ipsilateral or contralateral ACL reconstruction (12.6% vs. 7.8%; OR. 1.7; p < 0.001; level of evidence, III).…”

Section: Worse Outcomes After Surgery On Tendon and Ligament Surgerymentioning

confidence: 99%

Adverse Effects of Smoking on Outcomes of Orthopaedic Surgery

2017

Journal of Orthopaedics, Trauma and Rehabilitation

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Smoking has many adverse effects on the musculoskeletal system, particularly on the outcomes after orthopaedic surgery. Smoking is associated with surgical site infection and postoperative wound complications after spine surgery, total joint arthroplasty, and fracture fixation; nonunion after spinal fusion, ankle fusion, osteotomy, and internal fixation and bone grafting for scaphoid nonunion; worse outcomes after lumbar disc prolapse, spinal stenosis, and cervical myelopathy surgery; periprosthetic joint infection and lower survival after total hip, knee, and shoulder arthroplasty; worse outcome after shoulder rotator cuff repair and anterior cruciate ligament reconstruction; and wound complications after microsurgery. Orthopaedic surgeons should inform smokers and motivate them to quit smoking before orthopaedic operations.

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The effect of smoking on ACL reconstruction: a systematic review

Abstract: Therapeutic Level IV.

Cited by 30 publications

References 39 publications

The Effect of Tobacco Smoking on Musculoskeletal Health: A Systematic Review

The Effect of Tobacco Smoking on Musculoskeletal Health: A Systematic Review

Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach

Adverse Effects of Smoking on Outcomes of Orthopaedic Surgery

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