Navigation Links
Joint-Replacement Failure Rate Higher for Smokers: Studies
Date:4/20/2012

FRIDAY, April 20 (HealthDay News) -- Knee and hip replacements are more likely to fail in smokers than nonsmokers, according to two new studies.

One study of 621 patients, including 131 smokers, who underwent total knee replacement found that the rate of knee-replacement failure was 10 times higher among smokers than nonsmokers -- 10 percent vs. 1 percent.

Smokers also had a higher rate of medical complications than nonsmokers -- 21 percent vs. 12 percent. Complications included blood clots, anemia, heart problems and acute kidney failure.

The second study included hundreds of patients who underwent reconstruction of the acetabulum (the cup-shaped cavity at the base of the hip bone) with ultraporous metal, which is said to result in fewer failures than standard metal. The failure rate in smokers was 9.1 percent, compared to 3.4 percent in nonsmokers.

The studies were presented recently at the annual meeting of the American Academy of Orthopaedic Surgeons in San Francisco, which also included a forum on smoking and joint replacement.

At the forum, experts offered suggestions about how to get patients to quit smoking. One way is to refuse to perform surgery on patients who smoke, said Dr. Glenn Rechtine, an orthopedic surgeon and associate chief of staff and adjunct professor at the University of South Florida in Tampa. He said this rule has convinced 40 percent of his patients to stop smoking.

A three-step process has been effective for Dr. Richard Hurt, professor of medicine and director of the Nicotine Dependence Center at the Mayo Clinic in Rochester, Minn.

"First, ask about tobacco use," Hurt said in an academy news release. "Have your receptionist ask, your nurse ask, your physician's assistant ask, and you ask -- even if you already know the answer. Asking shows the patient that smoking is a serious problem that must be addressed. Then, advise the patient to stop smoking. Don't just say, 'you know, you ought to consider stopping someday.' Tell the patient, 'you need to stop smoking.' Finally, because smokers are going to push back, it's important to offer help."

Data and conclusions presented at medical meetings should be considered preliminary until published in a peer-reviewed medical journal.

More information

The U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases has more about joint replacement surgery.

-- Robert Preidt

SOURCE: American Academy of Orthopaedic Surgeons, news release, April 12, 2012


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Herbal Remedy Ingredient Tied to Cancer, Kidney Failure
2. Common Blood Pressure Drug Safe for Heart Failure: Study
3. Heart failure patients with diabetes may benefit from higher glucose levels
4. Genetic causes found in nearly 1 in 5 patients with dilated cardiomyopathy heart failure
5. Vitamin E Supplements Dont Affect Heart Failure Risk: Study
6. The worlds largest heart failure congress -- Heart Failure Congress 2012
7. Heart Failure Patients Urged to Discuss Care With Docs
8. Poor Lung Function Linked to Heart Failure in Study
9. Telomere failure, telomerase activation drive prostate cancer progression
10. Treatment Advances Improve the Odds for Heart Failure Patients
11. Study Finds Link Between Heart Failure, Brain Changes
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Joint-Replacement Failure Rate Higher for Smokers: Studies
(Date:3/29/2017)... ... 30, 2017 , ... Grass pollen is the main cause of hay fever in the United ... for grass pollen runs from May to July each year; with the worst time for ... HayMax™ allergen barrier balms ( http://www.haymax.us ) provide an effective defense against grass pollen; they ...
(Date:3/29/2017)... ... March 30, 2017 , ... Youth Futures International (YFI) premiered its Serve, ... high school and college students who have participated in the program every summer. ... is now accepting applications for enrollment. Visit http://www.ghana.yfiexperience.org to learn more. ...
(Date:3/29/2017)... ... 2017 , ... Sports Brand EXOUS Bodygear announced today a special sale price ... the remaining days of March, the price will be only $19.97. The EXOUS Bodygear ... just $10 (regular retail price $19.97). , The special promotional prices are to help ...
(Date:3/29/2017)... Rouge, Louisiana (PRWEB) , ... March 29, 2017 ... ... HeartBoost in three Hours at a Walgreens store in Mississippi. AngioGenesis Labs, makers ... at Walgreens Stores in two southeastern states. Ingredients in HeartBoost, an over the ...
(Date:3/29/2017)... ... 29, 2017 , ... Based on research from Guardian’s Fourth ... in trying to balance both short-term and long-term benefits demands. Are employers ... growing complexity, companies are finding that the short-term strategies used to control costs, ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... , March 29, 2017 Today, CVS Health ... Kim Reynolds , Department of Public Health Director ... Steve Lukan in announcing the availability of the ... Pharmacy locations in Iowa.  CVS Health has established a standing ... allows CVS Pharmacy to expand access to the medication in ...
(Date:3/29/2017)... 29, 2017  Experts in the field in ... like  Soberlink Systems  as a model for recovery ... in early 2017, concluded that remote blood alcohol ... patient recovery." The findings of the ... Medicine, detail a range of variables that are ...
(Date:3/29/2017)... According to a new market research report "Medical Radiation Detection, Monitoring & ... Products (Personal Dosimeters, OSL, Badges), Safety (Apron, Shields, Face Mask, Gloves), End ... to reach USD 1,215.4 Million by 2021 from USD 887.0 Million in ... Continue Reading ... ...
Breaking Medicine Technology: