Smoking and reconstruction of the anterior cruciate ligament.
We sought to determine whether smoking affected the outcome of reconstruction of the anterior cruciate ligament. We analysed the results of 66 smokers (group 1 with a mean follow-up of 5.67 years (1.1 to 12.7)) and 238 non-smokers (group 2 with a mean follow-up of 6.61 years (1.2 to 11.5)), who were...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2006
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| _version_ | 1826261427135971328 |
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| author | Karim, A Pandit, H Murray, J Wandless, F Thomas, N |
| author_facet | Karim, A Pandit, H Murray, J Wandless, F Thomas, N |
| author_sort | Karim, A |
| collection | OXFORD |
| description | We sought to determine whether smoking affected the outcome of reconstruction of the anterior cruciate ligament. We analysed the results of 66 smokers (group 1 with a mean follow-up of 5.67 years (1.1 to 12.7)) and 238 non-smokers (group 2 with a mean follow-up of 6.61 years (1.2 to 11.5)), who were statistically similar in age, gender, graft type, fixation and associated meniscal and chondral pathology. The assessment was performed using the International Knee Documentation Committee form and serial cruciometer readings. Poor outcomes were reported in group 1 for the mean subjective International Knee Documentation Committee score (p < 0.001), the frequency (p = 0.005) and intensity (p = 0.005) of pain, a side-to-side difference in knee laxity (p = 0.001) and the use of a four-strand hamstring graft (p = 0.015). Patients in group 1 were also less likely to return to their original level of pre-injury sport (p = 0.003) and had an overall worse final 7 International Knee Documentation Committee grade score (p = 0.007). Despite the well-known negative effects of smoking on tissue healing, the association with an inferior outcome after reconstruction of the anterior cruciate ligament has not previously been described and should be included in the pre-operative counselling of patients undergoing the procedure. |
| first_indexed | 2024-03-06T19:21:16Z |
| format | Journal article |
| id | oxford-uuid:1a2c34b4-7566-435a-82d1-cc1923ff24ac |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:21:16Z |
| publishDate | 2006 |
| record_format | dspace |
| spelling | oxford-uuid:1a2c34b4-7566-435a-82d1-cc1923ff24ac2022-03-26T10:53:19ZSmoking and reconstruction of the anterior cruciate ligament.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1a2c34b4-7566-435a-82d1-cc1923ff24acEnglishSymplectic Elements at Oxford2006Karim, APandit, HMurray, JWandless, FThomas, NWe sought to determine whether smoking affected the outcome of reconstruction of the anterior cruciate ligament. We analysed the results of 66 smokers (group 1 with a mean follow-up of 5.67 years (1.1 to 12.7)) and 238 non-smokers (group 2 with a mean follow-up of 6.61 years (1.2 to 11.5)), who were statistically similar in age, gender, graft type, fixation and associated meniscal and chondral pathology. The assessment was performed using the International Knee Documentation Committee form and serial cruciometer readings. Poor outcomes were reported in group 1 for the mean subjective International Knee Documentation Committee score (p < 0.001), the frequency (p = 0.005) and intensity (p = 0.005) of pain, a side-to-side difference in knee laxity (p = 0.001) and the use of a four-strand hamstring graft (p = 0.015). Patients in group 1 were also less likely to return to their original level of pre-injury sport (p = 0.003) and had an overall worse final 7 International Knee Documentation Committee grade score (p = 0.007). Despite the well-known negative effects of smoking on tissue healing, the association with an inferior outcome after reconstruction of the anterior cruciate ligament has not previously been described and should be included in the pre-operative counselling of patients undergoing the procedure. |
| spellingShingle | Karim, A Pandit, H Murray, J Wandless, F Thomas, N Smoking and reconstruction of the anterior cruciate ligament. |
| title | Smoking and reconstruction of the anterior cruciate ligament. |
| title_full | Smoking and reconstruction of the anterior cruciate ligament. |
| title_fullStr | Smoking and reconstruction of the anterior cruciate ligament. |
| title_full_unstemmed | Smoking and reconstruction of the anterior cruciate ligament. |
| title_short | Smoking and reconstruction of the anterior cruciate ligament. |
| title_sort | smoking and reconstruction of the anterior cruciate ligament |
| work_keys_str_mv | AT karima smokingandreconstructionoftheanteriorcruciateligament AT pandith smokingandreconstructionoftheanteriorcruciateligament AT murrayj smokingandreconstructionoftheanteriorcruciateligament AT wandlessf smokingandreconstructionoftheanteriorcruciateligament AT thomasn smokingandreconstructionoftheanteriorcruciateligament |