Department of Trauma and Orthopaedic Surgery, Complex Arthroplasty Unit, St Georges University Hospital NHS Trust, London, UK.
University College London, Royal Free Hospital, London, UK.
Arch Orthop Trauma Surg. 2024 Nov;144(11):4801-4808. doi: 10.1007/s00402-024-05565-2. Epub 2024 Nov 6.
Cigarette smoking is known to result in poorer outcomes for patients undergoing total joint arthroplasty. Smoking tobacco cigarettes in the perioperative period is associated with higher analgesia usage, increased mortality, poorer healing, and an increased risk of medical complications. As such, many surgeons advise their patients not to smoke in the perioperative period. Electronic cigarettes are emerging as a popular alternative for usage by patients who would otherwise continue to smoke traditional cigarettes. Importantly, there has been limited investigation into the impact of electronic cigarette usage on the outcomes of total joint arthroplasty. This review investigates the potential detrimental effects caused by the usage of electronic cigarettes on the outcomes of total joint arthroplasty.
A systematic review was carried out in accordance with the PRISMA Guidelines. We have drawn from studies that investigated the impact of the constituents of E-cigarette vapour on bone health, wound healing, the immune system and the direct impact of electronic cigarette usage on surgical outcomes.
Electronic cigarettes release nicotine in an inconsistent manner, resulting in many negative consequences for bone health. Furthermore, they depress the immune system, impair wound healing and may result in longer hospital stays.
Electronic cigarette usage should be monitored in the perioperative period to reduce the risk of complication. There is a pressing need for more comprehensive research in this area to fully understand the implications of EC usage on the outcomes of total joint arthroplasty.
众所周知，吸烟会导致接受全关节置换术的患者预后较差。在围手术期吸烟会导致更高的镇痛药物使用、更高的死亡率、更差的愈合和更高的医疗并发症风险。因此，许多外科医生建议他们的患者在围手术期不要吸烟。电子烟作为一种流行的替代品，吸引了那些原本会继续吸食传统香烟的患者。重要的是，对于电子烟使用对全关节置换术结果的影响，研究还很有限。本综述调查了电子烟使用对全关节置换术结果可能造成的潜在不利影响。
根据 PRISMA 指南进行了系统综述。我们借鉴了研究电子烟蒸气成分对骨骼健康、伤口愈合、免疫系统的影响，以及电子烟使用对手术结果的直接影响。
电子烟以不一致的方式释放尼古丁，对骨骼健康造成许多负面影响。此外，它们还会抑制免疫系统、影响伤口愈合，并可能导致住院时间延长。
在围手术期应监测电子烟的使用，以降低并发症风险。在这一领域需要进行更全面的研究，以充分了解电子烟使用对全关节置换术结果的影响。
