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No delayed bone healing in Swedish male oral snuffers operated on by the hemicallotasis technique: A cohort study of 175 patients.

W-Dahl, Annette LU and Toksvig-Larsen, Sören LU (2007) In Acta Orthopaedica 78(6). p.791-794
Abstract
Background and purpose The effect of oral snuff on bone healing is virtually unknown. In vitro data have indicated that delay in bone healing in smokers may be the result of components of smoke other than nicotine. We compared the time for bone healing after high tibial osteotomy in snuffers, smokers, and in control subjects who did not use snuff or cigarettes. Patients and methods 175 male patients comprising 41 smokers, 21 oral snuff users, and 113 non-smokers/ non-snuffers, all of whom were operated on for knee deformity by tibial osteotomy using the hemicallotasis technique (HCO) between 2000 and 2005, were included in a consecutive manner. Preoperative tobacco use, postoperative complications, and treatment time in external fixation... (More)
Background and purpose The effect of oral snuff on bone healing is virtually unknown. In vitro data have indicated that delay in bone healing in smokers may be the result of components of smoke other than nicotine. We compared the time for bone healing after high tibial osteotomy in snuffers, smokers, and in control subjects who did not use snuff or cigarettes. Patients and methods 175 male patients comprising 41 smokers, 21 oral snuff users, and 113 non-smokers/ non-snuffers, all of whom were operated on for knee deformity by tibial osteotomy using the hemicallotasis technique (HCO) between 2000 and 2005, were included in a consecutive manner. Preoperative tobacco use, postoperative complications, and treatment time in external fixation were documented. Results There was no delayed healing in the oral snuff users. The mean time in external fixation for all patients was 94 days (SD 20). Oral snuff users had the shortest time in external fixation (87 days (SD11)) compared to smokers (100 days (SD 25)) (p = 0.03) and non-smokers/non-snuffers (93 days (SD 14)). The risk ratio for smokers developing complications was 6.1 (95% CI: 1.2-36.4) compared with oral snuff users. Interpretation Our findings indicate that the use of oral snuff does not delay bone healing or increase the risk of postoperative complications, which cigarette smoking does, in patients operated on by the hemicallotasis technique. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
78
issue
6
pages
791 - 794
publisher
Taylor & Francis
external identifiers
  • PMID:18236185
  • WOS:000252849000010
  • Scopus:38749097768
ISSN
1745-3682
DOI
10.1080/17453670710014563
language
English
LU publication?
yes
id
d02e01c0-e4a7-4b05-b8d1-7ad851f24c7a (old id 1042440)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18236185?dopt=Abstract
date added to LUP
2008-03-06 14:12:49
date last changed
2017-02-05 04:37:02
@article{d02e01c0-e4a7-4b05-b8d1-7ad851f24c7a,
  abstract     = {Background and purpose The effect of oral snuff on bone healing is virtually unknown. In vitro data have indicated that delay in bone healing in smokers may be the result of components of smoke other than nicotine. We compared the time for bone healing after high tibial osteotomy in snuffers, smokers, and in control subjects who did not use snuff or cigarettes. Patients and methods 175 male patients comprising 41 smokers, 21 oral snuff users, and 113 non-smokers/ non-snuffers, all of whom were operated on for knee deformity by tibial osteotomy using the hemicallotasis technique (HCO) between 2000 and 2005, were included in a consecutive manner. Preoperative tobacco use, postoperative complications, and treatment time in external fixation were documented. Results There was no delayed healing in the oral snuff users. The mean time in external fixation for all patients was 94 days (SD 20). Oral snuff users had the shortest time in external fixation (87 days (SD11)) compared to smokers (100 days (SD 25)) (p = 0.03) and non-smokers/non-snuffers (93 days (SD 14)). The risk ratio for smokers developing complications was 6.1 (95% CI: 1.2-36.4) compared with oral snuff users. Interpretation Our findings indicate that the use of oral snuff does not delay bone healing or increase the risk of postoperative complications, which cigarette smoking does, in patients operated on by the hemicallotasis technique.},
  author       = {W-Dahl, Annette and Toksvig-Larsen, Sören},
  issn         = {1745-3682},
  language     = {eng},
  number       = {6},
  pages        = {791--794},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {No delayed bone healing in Swedish male oral snuffers operated on by the hemicallotasis technique: A cohort study of 175 patients.},
  url          = {http://dx.doi.org/10.1080/17453670710014563},
  volume       = {78},
  year         = {2007},
}