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:5/2/2016)... ... May 02, 2016 , ... Pets bring laughter, joy and love ... pet owners celebrate National Pet Week, which falls on the first full week of ... to cherish the human-animal bond and recognize responsible pet ownership. Pet owners can live ...
(Date:5/2/2016)... ... , ... “Engineering Bubbles,” an oil painting submitted by Canadian radiology resident Dr. ... at the Annual Meeting in Los Angeles. The first annual art forum was a ... Meeting attendees. , “Through art I hope to educate people about radiology and ...
(Date:5/2/2016)... , ... May 02, 2016 , ... Over $60 Billion ... best in pet gear and toys, leading product review site for Toys, Tots, Pets ... Excellence Awards at their Spring Showcase at the Metropolitan Pavilion in New York ...
(Date:5/2/2016)... ... May 02, 2016 , ... Zitter Health Insights , ... Satisfaction Award that will recognize specialty pharmacies for their achievements in customer satisfaction. ... Specialty Pharmacy Patient Satisfaction Survey compiled throughout 2016. Results will be published in ...
(Date:5/2/2016)... ... May 02, 2016 , ... According to an American Psychological ... girls are sexually abused before the age of 18. Of those who survive, many ... story and others. , In her new book, Lyah! Lyah! Pants on Fyah!, ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... Florida , April 28, 2016 ... the development of innovative peptide and gene-based immunotherapeutics and vaccines ... it will be presenting at the 3rd Annual Growth ... - 5 th , 2016 at Caesars Palace in Las Vegas, ... 8.00 am on Wednesday, May 4 th by Dr. ...
(Date:4/27/2016)... April 27, 2016  Hologic, Inc. (Nasdaq: ... results for the fiscal second quarter ended March ... of $0.24 increased 41.2%, and non-GAAP diluted EPS ... increased 5.8% on a reported basis, and 6.3% ... "We posted another good quarter, highlighted by 14.6% ...
(Date:4/27/2016)...   , ... le trimestre, soutenu par une croissance de +42% ... de +16% des ventes aux hôpitaux et cliniques  ... (Euronext : MKEA, FR0010609263 ; OTCQX : MKEAY), inventeur de Cellvizio®, ... chiffre d,affaires pour le premier trimestre clos au ...
Breaking Medicine Technology: