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Does smoking affect the quality of bone regenerate in paediatric limb reconstructive surgery?
Rohan Ananda Rajan1, Ming Ong, Stanley Jones
1Derbyshire Royal Infirmary, London Road, Derby, DE1 2QY, UK, rohan.rajan@nhs.net.
Purpose:
To bring to the attention of the orthopaedic fraternity that adolescent children smoke and this has an adverse effect on the bone regenerate during limb deformity corrective surgery.
Methods:
Retrospective review of patients undergoing limb deformity corrective surgery with a prolonged frame time and bone-healing index. Patients operated on between 1993 and 2005 in a single regional specialist paediatric orthopaedic hospital.
Results:
Seventeen smoking patients (16 adolescent, one aged 9 years), with prolonged bone regenerate consolidation time of more than double the standard time. Bone-healing index (BHI) was increased in both active smokers and passive smokers.
Conclusions:
In the older child/adolescent we should consider smoking (active or passive) as a detrimental factor in prolonging their frame times. We should council these patients and their carers to stop smoking at least during the period of their treatment.
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