Effect of Cigarette Smoking on Outcomes in Patients Undergoing Primary Hip Arthroscopy and Labral Reconstruction: A Propensity-Matched Controlled Study With Minimum 2-Year Follow-up

Effect of Cigarette Smoking on Outcomes in Patients Undergoing Primary Hip Arthroscopy and Labral Reconstruction: A Propensity-Matched Controlled Study With Minimum 2-Year Follow-up

Authors

Jimenez AE, Lee MS, George T, Owens JS, Maldonado DR, Saks BR, Lall AC, Domb BG

Journal

Orthop J Sports Med, February 2022

Background

Cigarette smoking is known to negatively affect healing and surgical outcomes, but there is limited literature on its impact in patients undergoing hip arthroscopy for labral reconstruction.

Methods

• This cohort study compared outcomes of smokers and non-smokers who underwent primary hip arthroscopy and labral reconstruction.
• Patient-reported outcomes (PROs) and rates of revision surgery were assessed over a minimum 2-year follow-up.

Key Findings

• Smokers had significant improvements in PROs (mHHS, NAHS, VAS) post-surgery but had lower rates of achieving PASS (55% vs 75%) and NAHS (40% vs 61.7%).
• Smokers had higher rates of secondary surgery (25% vs 5%) compared to non-smokers.
• The survivorship rate was lower for smokers (80% vs 98.3%).

Conclusions

While smoking patients still benefit from hip arthroscopy, their long-term functional outcomes and rates of secondary surgery are inferior to those of non-smokers. Smoking cessation should be encouraged before and after surgery.

What Does This Mean For Patients

If you smoke and are undergoing hip arthroscopy, quitting smoking could improve your long-term surgical outcomes and reduce the likelihood of needing additional surgeries.