Effect of Cigarette Smoking on Midterm Outcomes After Arthroscopic Surgery for Femoroacetabular Impingement Syndrome: A Propensity-Matched Controlled Study With Minimum 5-Year Follow-up
Authors
Jimenez AE, Lee MS, Owens JS, Maldonado DR, Saks BR, Lall AC, Domb BG
Journal
Orthop J Sports Med, May 2022
Background
Cigarette smoking has been linked to worse surgical outcomes. However, its effect on long-term outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) remains unclear.
Methods
- Data were collected from patients who underwent hip arthroscopy for FAIS between 2009 and 2016.
- Patients who smoked within a month of surgery were compared to a propensity-matched group of never-smokers.
- Patient-reported outcomes (PROs) were measured at baseline and a minimum of 5 years after surgery.
Key Findings
- Smoking patients showed significant improvement in PROs after surgery.
- However, smoking patients had worse preoperative scores, and their 5-year PRO scores trended lower compared to never-smokers, especially in HOS-SSS and iHOT-12 (P = .076 and P = .122, respectively).
- Smoking patients also trended toward lower rates of achieving the Patient Acceptable Symptom State (PASS).
Conclusions
Cigarette smokers who undergo hip arthroscopy for FAIS show improvement over time, but their outcomes and rates of achieving PASS are lower compared to non-smokers.
What Does This Mean For Patients
If you're a smoker considering hip arthroscopy, expect significant improvement, but smoking may reduce the long-term success and symptom relief compared to never-smokers.