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:6/26/2016)... ... 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic treatment ... Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. This ... of the world’s leading providers of cereal and other breakfast foods. Its residents often ...
(Date:6/26/2016)... , ... June 26, 2016 , ... ... once they have been diagnosed with endometriosis. These women need a treatment plan ... require a comprehensive approach that can help for preservation of fertility and ultimately ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
(Date:6/25/2016)... ... ... Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health and Mental ... exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards took place ... BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to receive an ...
(Date:6/24/2016)... ... 24, 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. ... the benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has ... , Sickle Cell Disease (SCD) is a disorder of the red blood cells, which ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
(Date:6/23/2016)... , June 23, 2016 Any dentist who has ... of the current process. Many of them do not even ... technical difficulties and high laboratory costs involved. And those who ... it at such a high cost that the majority of ... Dr. Parsa Zadeh , founder of Dental Evolutions ...
(Date:6/23/2016)... , June 23, 2016 Research ... MEMS Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data ... analysis. Assessment of major trends with potential impact on the ... analysis of market segmentation which comprises of sub markets, regional ...
Breaking Medicine Technology: