Cited by 109Bone fractures and treatmentsSmoking Behavior and CessationBone health and osteoporosis research

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Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know

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Hernigou, J., Schuind, F.·2019·Bone & Joint Research

DOI 10.1302/2046-3758.86.bjr-2018-0344.r1PMC PMC6609869

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Abstract

Objectives: The aim of this study was to review the impact of smoking tobacco on the musculoskeletal system, and on bone fractures in particular. Methods: English-language publications of human and animal studies categorizing subjects into smokers and nonsmokers were sourced from MEDLINE, The Cochrane Library, and SCOPUS. This review specifically focused on the risk, surgical treatment, and prevention of fracture complications in smokers. Results: Smokers have an increased risk of fracture and experience more complications with delayed bone healing, even if they have already stopped smoking, because some adverse effects persist for a prolonged period. Some risks can be reduced during and after surgery by local and general prevention, and smoking cessation is an important factor in lessening this risk. However, if a patient wants to stop smoking at the time of a fracture, the cessation strategies in reducing tobacco use are not easy to implement. The patient should also be warned that using e-cigarettes or other tobaccos does not appear to reduce adverse effects on health. Conclusion: The evidence reviewed in this study shows that smoking has a negative effect in terms of the risk and treatment of fractures. Cite this article: J. Hernigou, F. Schuind. Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know. Bone Joint Res 2019;8:255–265. DOI: 10.1302/2046-3758.86.BJR-2018-0344.R1.

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Authors: Hernigou, J., & Schuind, F.
Affiliations: Epicura (BE)
Erasmus Hospital (BE)
Corresponding author: Hernigou, J.
ORCID: Hernigou, J.
Schuind, F.
Venue: Bone & Joint Research
Publisher: British Editorial Society of Bone & Joint Surgery
Published: 2019-06
Volume: 8
Issue: 6
Pages: 255-265
ISSN: 2046-3758 (ISSN-L)
DOI: 10.1302/2046-3758.86.bjr-2018-0344.r1
PMC: PMC6609869
OpenAlex: W2955580883
Cited by: 109
References: 147
Citations by year: 2026: 15 · 2025: 17 · 2024: 23 · 2023: 15 · 2022: 15 · 2021: 14 · 2020: 10
FWCI: 7.42
Type: journal article
Language: en
Open access: gold
doi.org
Licence: online.boneandjoint.org.uk/TDM (tdm)
Locations: Bone and Joint Research (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Keywords: smoking, tobacco use, bone fractures, fracture risk, delayed bone healing, fracture complications, smoking cessation, electronic cigarettes, fracture surgery

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Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know

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