Does Healing Of Post Fracture Surgery Delays Due To Obesity And Smoking

Delaying surgery for obese patients

Obesity and smoking otherwise are also not good, leave about the illness.  One will surely have negative effects on bone health.

That was the question in a study of patients with distal radius fractures recently published online by the journal of hand surgery. These fractures cases in a hospital are in the ratio of 5% to 20% of all the emergency cases received in a day. Patients who carry on distal radius fractures often experience challenges with activities of daily living, as well as potentially serious and costly complications.

The investigators all together analyzed data on patients who underwent volar plate fixation for a distal radius fracture between 2006 and 2017 at 2 trauma centers. The studies on 200 patients were done, out of which 39 were obese and 161 were non-obese. Patients were also characterized into three categories as current smokers (n=20), former smokers (n=32), or never smokers (n=148 patients) based on self-reported cigarette use.

Primary aspects evaluated by the investigators included:

  • Outcomes on the quick disabilities of the arm, shoulder, and hand form
  • Range of motion
  • Flexion-extension and pronation-supination
  • Fracture union according to the radiographic union scoring system
  • Radiographic alignment, including radial height, radial inclination, and volar tilt

After 3 months and 1 year of surgery, the obese and non-obese groups’ patient-reported good recovery and good function in the upper extremity, almost similar to those of the general population. Both the groups were also similar with regard to the range of motion and bone alignment.

Smokers group of patients’ demonstrated very poor recovery related to arm, shoulder, and hand function and also a very low percentage of healed fractures at 3 months after surgery. These differences became clearer over the course of a year.

The Gist of the observations found that one can achieve excellent clinical and radiographic outcomes with surgery for displaced wrist fractures in patients who are obese said by senior author Tamara d. Rozental, MD, chief of hand and upper extremity surgery at beth Israel deaconess medical center and professor of orthopedic surgery at Harvard medical school.

Their results also showed that treatment for distal radius fractures in obese and smoking patients is safe, and these patients may be treated as the general population with similar long-term results. Their short-term effects, however, demonstrate higher disability and, in the case of smokers, slower fracture healing.”

Dr. Rozental stressed out that obesity and smoking are currently considered among the two most important avoidable causes of poor health in developed nations, and both are regulating risk factors. So it is believed that lifestyle interferences focusing on weight loss and smoking cessation should be seriously taken into account whenever possible.

“Avoid Smoking and Be Physically Fit To Avoid Delay in Healing of Fractures”

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