Open AccessDoes smoking affect the quality of bone regenerate in paediatric limb reconstructive surgery?
Author(s) -
Roy Rajan,
Ming Ong,
Scott Jones,
James A. Fernandes
Publication year - 2007
Publication title -
journal of children's orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.638
H-Index - 36
eISSN - 1863-2548
pISSN - 1863-2521
DOI - 10.1007/s11832-007-0058-9
Subject(s) - medicine , deformity , reconstructive surgery , retrospective cohort study , surgery , orthopedic surgery , bone healing , physical therapy
Purpose 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.Methods 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.Results 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.Conclusions 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.