Does smoking affect implant survivorship in total hip arthroplasty? A preliminary retrospective case series.

Russell D. Meldrum, Lawrence Wurtz, Judy R. Feinberg, William Capello

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

This retrospective study aimed to explore the effects of smoking on hip implant survivorship. The study included 147 patients (165 hips) from 1985 to 1991 who underwent total hip arthroplasty (THA) with a particular uncemented cup, and either a cemented or uncemented femoral component of the same design. Thirty-one patients (34 hips, 21 percent of study group) smoked at the time of surgery. Of 13 components (seven cups, five cemented and one cementless stem) revised for aseptic loosening, eight (8/68, 11.8 percent) were revised in six smokers, and five (5/262, 1.9 percent) were revised in four nonsmokers (p = 0.0012). Multivariate covariate analysis revealed a 4.5 times greater risk of implant loosening in smokers (p = 0.0662). Based on this preliminary study, further larger studies should be performed to determine the extent that smoking may contribute to THA survivorship.

Original languageEnglish
Pages (from-to)17-24
Number of pages8
JournalThe Iowa orthopaedic journal
Volume25
StatePublished - 2005

Fingerprint

Arthroplasty
Hip
Survival Rate
Smoking
Thigh
Multivariate Analysis
Retrospective Studies

Cite this

Does smoking affect implant survivorship in total hip arthroplasty? A preliminary retrospective case series. / Meldrum, Russell D.; Wurtz, Lawrence; Feinberg, Judy R.; Capello, William.

In: The Iowa orthopaedic journal, Vol. 25, 2005, p. 17-24.

Research output: Contribution to journalArticle

@article{1070d2affc7d4b0299c127e18e460346,
title = "Does smoking affect implant survivorship in total hip arthroplasty? A preliminary retrospective case series.",
abstract = "This retrospective study aimed to explore the effects of smoking on hip implant survivorship. The study included 147 patients (165 hips) from 1985 to 1991 who underwent total hip arthroplasty (THA) with a particular uncemented cup, and either a cemented or uncemented femoral component of the same design. Thirty-one patients (34 hips, 21 percent of study group) smoked at the time of surgery. Of 13 components (seven cups, five cemented and one cementless stem) revised for aseptic loosening, eight (8/68, 11.8 percent) were revised in six smokers, and five (5/262, 1.9 percent) were revised in four nonsmokers (p = 0.0012). Multivariate covariate analysis revealed a 4.5 times greater risk of implant loosening in smokers (p = 0.0662). Based on this preliminary study, further larger studies should be performed to determine the extent that smoking may contribute to THA survivorship.",
author = "Meldrum, {Russell D.} and Lawrence Wurtz and Feinberg, {Judy R.} and William Capello",
year = "2005",
language = "English",
volume = "25",
pages = "17--24",
journal = "The Iowa orthopaedic journal",
issn = "1541-5457",
publisher = "University of Iowa",

}

TY - JOUR

T1 - Does smoking affect implant survivorship in total hip arthroplasty? A preliminary retrospective case series.

AU - Meldrum, Russell D.

AU - Wurtz, Lawrence

AU - Feinberg, Judy R.

AU - Capello, William

PY - 2005

Y1 - 2005

N2 - This retrospective study aimed to explore the effects of smoking on hip implant survivorship. The study included 147 patients (165 hips) from 1985 to 1991 who underwent total hip arthroplasty (THA) with a particular uncemented cup, and either a cemented or uncemented femoral component of the same design. Thirty-one patients (34 hips, 21 percent of study group) smoked at the time of surgery. Of 13 components (seven cups, five cemented and one cementless stem) revised for aseptic loosening, eight (8/68, 11.8 percent) were revised in six smokers, and five (5/262, 1.9 percent) were revised in four nonsmokers (p = 0.0012). Multivariate covariate analysis revealed a 4.5 times greater risk of implant loosening in smokers (p = 0.0662). Based on this preliminary study, further larger studies should be performed to determine the extent that smoking may contribute to THA survivorship.

AB - This retrospective study aimed to explore the effects of smoking on hip implant survivorship. The study included 147 patients (165 hips) from 1985 to 1991 who underwent total hip arthroplasty (THA) with a particular uncemented cup, and either a cemented or uncemented femoral component of the same design. Thirty-one patients (34 hips, 21 percent of study group) smoked at the time of surgery. Of 13 components (seven cups, five cemented and one cementless stem) revised for aseptic loosening, eight (8/68, 11.8 percent) were revised in six smokers, and five (5/262, 1.9 percent) were revised in four nonsmokers (p = 0.0012). Multivariate covariate analysis revealed a 4.5 times greater risk of implant loosening in smokers (p = 0.0662). Based on this preliminary study, further larger studies should be performed to determine the extent that smoking may contribute to THA survivorship.

UR - http://www.scopus.com/inward/record.url?scp=26044444783&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26044444783&partnerID=8YFLogxK

M3 - Article

C2 - 16089066

AN - SCOPUS:26044444783

VL - 25

SP - 17

EP - 24

JO - The Iowa orthopaedic journal

JF - The Iowa orthopaedic journal

SN - 1541-5457

ER -