Smoking a risk factor for early failure in primary, revision THA
April 13, 2012
Researchers found smoking to be a significant risk factor for early failure in
complex primary and revision total hip arthroplasties, even with the use of
ultraporous acetabular components.
Adolph V. Lombardi, Jr., MD, presented his team’s findings at the American
Academy of Orthopaedic Surgeons Annual Meeting in San Francisco.
Lombardi and his team looked at 10 years’ worth of hip procedures, identifying
ultraporous acetabular component use in 535 hips in 500 patients…
"This is the nuts and bolts – reasons for failure," he said. "Infection,
aseptic loosening and periacetabular failure — all of which we believe may be
affected by smoking."
… Lombardi noted a failure rate in smokers of 11%, with a failure rate of 3.8%
in non-smokers and 5.3% in previous smokers…
Lombardi AV, Berend KR, Morris MJ, et al. Smoking is a harbinger of early
failure with ultraporous metal acetabular reconstruction. Paper #223. Presented
at the American Academy of Orthopaedic Surgeons Annual Meeting. Feb. 7-11, 2012.