Tobacco use results in inferior outcomes after anatomic total shoulder arthroplasty

Jordan D. Walters, L. Watson George, Jim Wan, Tyler J. Brolin, Frederick M. Azar, Thomas W. Throckmorton

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: This study examined the effect of tobacco use on outcomes of primary anatomic total shoulder arthroplasty (TSA). Methods: A retrospective search identified 59 nonsmokers, 29 former smokers, and 14 current smokers with primary anatomic TSA and at least 2 yr of follow-up. At mean follow-up of 3 yr, patients were assessed with a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES), and Single Assessment Numeric Evaluation (SANE) scores and range-of-motion testing. Results: Smokers were significantly younger than nonsmokers or former smokers; there were no other statistically significant differences. VAS scores were significantly higher in current smokers and ASES scores were significantly lower. Complication rates were 36% in current smokers, 15% in nonsmokers, and 7% in former smokers (P = 0.05). Conclusions: Current smokers had significantly worse pain and functional scores and more complications. Former smokers had results similar to nonsmokers, suggesting improved outcomes are possible in patients who quit smoking preoperatively.

Original languageEnglish (US)
Pages (from-to)33-37
Number of pages5
JournalCurrent Orthopaedic Practice
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2019

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Tobacco Use
Arthroplasty
Elbow
Visual Analog Scale
Articular Range of Motion
Smoking
Pain
Surgeons

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

Tobacco use results in inferior outcomes after anatomic total shoulder arthroplasty. / Walters, Jordan D.; George, L. Watson; Wan, Jim; Brolin, Tyler J.; Azar, Frederick M.; Throckmorton, Thomas W.

In: Current Orthopaedic Practice, Vol. 30, No. 1, 01.01.2019, p. 33-37.

Research output: Contribution to journalArticle

Walters, Jordan D. ; George, L. Watson ; Wan, Jim ; Brolin, Tyler J. ; Azar, Frederick M. ; Throckmorton, Thomas W. / Tobacco use results in inferior outcomes after anatomic total shoulder arthroplasty. In: Current Orthopaedic Practice. 2019 ; Vol. 30, No. 1. pp. 33-37.
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