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Cited by 231Bone fractures and treatmentsReconstructive Surgery and Microvascular TechniquesMuscle and Compartmental Disorders

Cigarette smoking and open tibial fractures

Adams, C.I, Keating, J.F, Court-Brown, C.M·2001·Injury
DOI 10.1016/s0020-1383(00)00121-2
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Abstract

Complication rates were compared in 140 smoking and 133 non-smoking patients with open tibial fractures. Both the groups were evenly matched demographically and in terms of primary fracture treatment. Flap failure complicated 7 (20%) patients in the smoking group and 4 (14%) in the non-smoking group. The mean time to union was 32 weeks for smokers and 28 weeks for non-smokers (P<0.05). Bone grafting to stimulate union was required in 36 (26%) smoking patients compared with 24 (18%) non-smoking patients. In patients treated by intramedullary nailing exchange, nailing to achieve union was carried out in 24 (38%) smoking cases compared with 13 (26%) of non-smoking cases. Smoking is associated with an increased risk of complications in patients with open tibial fractures. There is an increased rate of flap failure, delayed union and non-union. We recommend patients with open tibial fractures should be advised to stop smoking to minimise these complications.

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Crossref · 10.1016/s0020-1383(00)00121-2

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24 of 24 references verified0 citation errors · 0 not checkable

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  • Patients with open and high-grade open fractures needed much more time to heal if they were smokers (32.3 weeks for smokers versus 27.8 weeks for non-smokers).

    “For example, it was observed that patients with open and high-grade open fractures needed much more time to heal if they were smokers (32.3 weeks for smokers versus 27.8 weeks for non-smokers) [55].”

    From Skeletal System Biology and Smoke Damage: From Basic Science to Medical Clinic (2021) · cites this paper as [55]

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Authors
Adams, C. I., Keating, J. F., & Court-Brown, C. M.
Affiliations
Edinburgh Royal Infirmary (GB)
Corresponding author
Keating, J.F
ORCID
Keating, J.F
Venue
Injury
Publisher
Elsevier BV
Published
2001-01
Volume
32
Issue
1
Pages
61-65
ISSN
0020-1383 (ISSN-L)
DOI
10.1016/s0020-1383(00)00121-2
OpenAlex
W2017113692
Cited by
231
References
24
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 14 · 2020: 14 · 2019: 13 · 2018: 10 · 2017: 11 · 2016: 12 · 2015: 9 · 2014: 15 · 2013: 12 · 2012: 14
FWCI
3.80
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Injury (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
  • Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
  • Health Sciences › Medicine › Surgery › Muscle and Compartmental Disorders
Keywords
cigarette smoking, open tibial fractures, flap failure, delayed union, nonunion, bone grafting, intramedullary nailing, fracture complications, smoking cessation
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Female, Fracture Fixation, Intramedullary, Fractures, Open, Fractures, Ununited, Humans, Male, Middle Aged, Smoking, Surgical Flaps, Tibial Fractures, Wound Infection, Fracture Healing, Treatment Failure

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