Kaneko Ayaka, Naito Kiyohito, Obata Hiroyuki, Nagura Nana, Sugiyama Yoichi, Goto Kenji, Kawakita So, Iwase Yoshiyuki, Kaneko Kazuo
Department of Orthopaedics, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan.
Department of Orthopaedic Surgery, Juntendo Tokyo Koto Geriatric Medical Center, Koto-ku, Tokyo, Japan.
J Hand Microsurg. 2020 Aug 5;14(3):212-215. doi: 10.1055/s-0040-1715425. eCollection 2022 Jul.
There are various studies that reviewed the effect of cigarette smoking in fracture healing process. Nonunion, delayed union, and residual pain are the significant risk factors associated with smoking and fracture healing. Little has been known about the impact of smoking in distal radius fracture healing. We intend to explore in brief the effect of smoking in distal radius fracture healing and comparing it with nonsmokers having the same fracture fixation and analyze the outcomes with respect to fracture healing and return of function. Of the total 186 patients, 92 were included in the study with ( = male: 31, female: 61) mean age of 60.2 years. They were divided into two groups: smoking ( = 43) and nonsmoking ( = 49). All had surgical fixation of the distal radius with volar locking plate and started on early mobilization. The range of motion of the wrist, grip, visual analog scale, quick disabilities of the arm and shoulder and hand score, Mayo wrist score, and bone healing period were noted between these two groups and compared with statistical analysis. The mean follow-up period was 8.7 months. There was a significant association of young age and male patients having distal radius fractures in the smoking group ( < 0.05). All fractures healed well in both groups without complications. There was no significant difference between these two groups in terms of range of motion, grasp, bone healing period, and functional outcomes. Despite the well-known fact that, smoking has negative implications in the fracture healing process, we found group of patients (smoking and nonsmoking) with distal radius fractures treated by volar locking plates healed well with good radiological union and excellent functional outcome There is no significant influence of smoking in distal radius fracture fixation.
有多项研究回顾了吸烟对骨折愈合过程的影响。骨不连、延迟愈合和残留疼痛是与吸烟及骨折愈合相关的重要风险因素。关于吸烟对桡骨远端骨折愈合的影响，人们了解甚少。我们打算简要探讨吸烟对桡骨远端骨折愈合的影响，并将其与接受相同骨折固定的非吸烟者进行比较，分析骨折愈合和功能恢复方面的结果。
在总共186例患者中，92例纳入本研究（男性31例，女性61例），平均年龄60.2岁。他们被分为两组：吸烟组（n = 43）和非吸烟组（n = 49）。所有患者均采用掌侧锁定钢板对桡骨远端进行手术固定，并开始早期活动。记录两组患者的腕关节活动范围、握力、视觉模拟评分、上肢、肩部和手部快速残疾评分、梅奥腕关节评分以及骨愈合时间，并进行统计学分析比较。
平均随访期为8.7个月。吸烟组中年轻男性患者发生桡骨远端骨折的相关性显著（P < 0.05）。两组所有骨折均愈合良好，无并发症。两组在活动范围、握力、骨愈合时间和功能结果方面无显著差异。
尽管吸烟在骨折愈合过程中有负面影响这一事实众所周知，但我们发现，采用掌侧锁定钢板治疗的桡骨远端骨折患者组（吸烟组和非吸烟组）均愈合良好，影像学愈合良好，功能结果优异。吸烟对桡骨远端骨折固定无显著影响。
