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:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has dedicated ... has implemented orthobiologic procedures as a method for treating his patients. The procedure ... doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use to ...
(Date:6/24/2016)... ... 2016 , ... A recent article published June 14 on E ... goes on to state that individuals are now more comfortable seeking to undergo not ... as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of ... AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing skills ... patients and their families pay tribute to a genetic counselor by nominating him or ... Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome magazine ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... CLEMENTE, Calif. , June 24, 2016  American Respiratory Labs ... company, is now able to perform sophisticated lung assessments in patients, ... Technologies , Inc. Patients are no longer limited ... ndd,s EasyOne PRO ® , ARL patients like Jeanne R. of ... done in the comfort of her own home. ...
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
Breaking Medicine Technology: