Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Am J Sports Med. 2021 Mar;49(4):1101-1108. doi: 10.1177/0363546520922854. Epub 2020 Jul 6.
Although the negative effects of smoking have been documented for other types of arthroscopic procedures, there is limited information regarding its influence on hip arthroscopy outcomes.
To examine the effect of smoking on the following outcomes after hip arthroscopy: patient-reported outcomes (PROs), the degree of improvement in PROs relative to baseline, complication rates, and rates of revision arthroscopy and/or conversion to total hip arthroplasty (THA).
Systematic review.
The PubMed, Embase, and Cochrane Library databases were queried for studies published between January 1, 1985, and January 14, 2020, comparing the outcomes of hip arthroscopy between smokers and nonsmokers. Case reports, basic science studies, and studies investigating pediatric patients or lacking a description of outcomes were excluded. Included outcome tools were the modified Harris Hip Score, the visual analog scale (VAS) for pain and satisfaction, and the Hip Outcome Score (HOS)-Sports Specific and HOS-Activities of Daily Living. Preoperative characteristics and operative indications were also recorded.
Postoperative combined means (± SD) were better in nonsmokers versus smokers for the modified Harris Hip Score (75.67 ± 20.88 vs 82.32 ± 15.5; = .001), the VAS pain (3.13 ± 2.79 vs 2.13 ± 2.21; < .001), and the HOS-Sports Specific (62.54 ± 25.38 vs 71.7 ± 23.3; < .001). There was no difference between groups in VAS satisfaction ( = .23) or HOS-Activities of Daily Living ( = .13). The extent of PRO score improvement relative to baseline values was similar in smokers and nonsmokers in all PRO measures ( > .05 for all). Smokers demonstrated higher rates of postoperative thromboembolic ( = .0177) and infectious ( = .006) complications. There was no difference between rates of revision arthroscopy ( = .47) and THA conversion ( = .31).
Smoking adversely affects certain postoperative PROs and is associated with higher postoperative complication rates. Further studies are required investigating the degree of PRO improvement and long-term arthroscopy revision and THA conversion rates.
尽管吸烟对其他类型的关节镜手术有负面影响，但关于其对髋关节镜手术结果的影响的信息有限。
检查吸烟对髋关节镜术后以下结果的影响：患者报告的结果 (PRO)、PRO 相对于基线的改善程度、并发症发生率以及翻修关节镜检查和/或转换为全髋关节置换术 (THA) 的发生率。
系统评价。
检索 1985 年 1 月 1 日至 2020 年 1 月 14 日期间发表的比较吸烟者和非吸烟者髋关节镜术后结果的 PubMed、Embase 和 Cochrane 图书馆数据库的研究。排除病例报告、基础科学研究以及研究儿科患者或缺乏结果描述的研究。纳入的结果评估工具包括改良 Harris 髋关节评分、疼痛和满意度的视觉模拟量表 (VAS) 以及髋关节评分 (HOS)-运动特异性和 HOS-日常生活活动。还记录了术前特征和手术指征。
与吸烟者相比，非吸烟者术后联合均值（± SD）在改良 Harris 髋关节评分（75.67 ± 20.88 对 82.32 ± 15.5； =.001）、VAS 疼痛（3.13 ± 2.79 对 2.13 ± 2.21； <.001）和 HOS-运动特异性（62.54 ± 25.38 对 71.7 ± 23.3； <.001）方面更好。在 VAS 满意度（ =.23）或 HOS-日常生活活动（ =.13）方面，两组之间没有差异。在所有 PRO 测量中，吸烟者和非吸烟者的 PRO 评分相对于基线值的改善程度相似（>.05 均）。吸烟者术后血栓栓塞（ =.0177）和感染（ =.006）并发症发生率较高。翻修关节镜检查（ =.47）和 THA 转换（ =.31）的发生率无差异。
吸烟会对某些术后 PRO 产生不利影响，并与较高的术后并发症发生率相关。需要进一步研究调查 PRO 改善程度以及长期关节镜翻修和 THA 转换率。
