Effect of smoking on rotator cuff and glenoid labrum surgery
The aim of this review was to determine whether smoking has a negative influence on tendinous, ligamentous and cartilaginous shoulder surgery.
The main finding of this review was that smoking does have an adverse effect on the outcome of rotator cuff repair (RCR). Smoking was found to be an independent factor adversely affecting clinical outcomes of RTC surgery. With regards to the evaluation of tendon integrity after RCR, there was significant support for decreased healing in RCR when assessed with MRI. Smoking seems to be associated with impaired healing of small medium tears, which overall show a retear rate of about 25%. It was also concluded that nicotine does have a biomechanical deleterious effect on healing RTC tendons in an animal model.
The review supports the notion of smoking cessation before and after surgery, as to reduce the risk of postoperative complications. > From: Santiago-Torres et.al., Am J Sports Med (2014) . All rights reserved to The Author(s). Click here for the Pubmed summary.