ArticleArchives of orthopaedic and trauma surgery2025
Tobacco smoking portends worse functional outcomes after acetabular fracture.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionModifiable patient-related factors contribute to morbidity and functional outcomes after acetabular fracture. This study will investigate the relationship between tobacco smoking and patient-reported functional outcomes after acetabular fracture. MATERIALS AND
methodsA retrospective cohort study of 770 patients with 782 acetabulum fractures was performed following operative (n = 535, 68%) or non-operative (n = 247, 32%) management. Musculoskeletal Function Assessment (MFA) scores were assessed a minimum of 12-months after injury in 37.5% of patients.
resultsTobacco smoking was pervasive with 44% current users and 14% former users. Current tobacco smokers had higher associated MFA scores, when compared to former and never smokers (42.7 vs. 36.5 and 26, p < 0.001). On linear regression analysis, history of tobacco smoking (current or former) was a risk factor for higher, worse outcomes on the MFA (B = 9.86, p = 0.02).
conclusionsCurrent or former tobacco smoking was predictive of worse patient-reported functional outcomes scores after acetabular fracture. LEVEL OF EVIDENCE: Level III, Prognostic.
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