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COMPARATIVE ANALYSIS ON THE RESULT FOR ARTHROSCOPIC ROTATOR CUFF SUTURE BETWEEN SMOKING AND NON-SMOKING PATIENTS
Alexandre Almeida1, Márcio Rangel Valin2, Rodrigo Zampieri3
1Orthopedic Doctor of the Hospital Saúde and Hospital Pompeia, Caxias do Sul, RS, Brazil.
Revista Brasileira De Ortopedia
|March 31, 2016
Summary
Smoking negatively impacts rotator cuff repair outcomes, particularly for large tears. Non-smokers demonstrate superior results after arthroscopic rotator cuff suture, highlighting the detrimental effects of smoking on healing.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Rotator cuff injuries are common, affecting patient mobility and quality of life.
- Arthroscopic rotator cuff repair is a standard surgical treatment.
- Smoking is a known risk factor for poor surgical outcomes and impaired tissue healing.
Purpose of the Study:
- To compare the outcomes of arthroscopic rotator cuff suture in smoking versus non-smoking patients.
- To evaluate the influence of smoking on functional recovery after rotator cuff repair.
Main Methods:
- Retrospective analysis of 205 patients undergoing arthroscopic rotator cuff suture.
- Patients were categorized into smoking and non-smoking groups.
- Outcomes were assessed using the University of California, Los Angeles (UCLA) scale at a minimum 12-month follow-up.
Main Results:
- No significant difference in UCLA scores for small/medium tears between smokers and non-smokers.
- Non-smokers showed significantly better UCLA scores for large and extensive rotator cuff tears (p = 0.038).
- Mean age and sex distribution were similar between groups.
Conclusions:
- Smoking is associated with inferior outcomes for arthroscopic repair of large and extensive rotator cuff tears.
- Patient smoking status should be considered in managing rotator cuff injuries.
- Smoking cessation may improve surgical outcomes for rotator cuff repair.
