Performing Surgery On Smokers: What You Should Know
- Volume 26 - Issue 4 - April 2013
- 10469 reads
- 1 comments
Postoperatively, the patient wore a non-weightbearing slipper cast after three weeks and a partial weightbearing cast for an additional three weeks. Radiographs revealed early consolidation at six weeks and the patient wore a surgical shoe. The patient transitioned to shoe gear after eight weeks postoperatively and he returned to full activity after 12 weeks.
The additional fixation helped achieve greater stability of the fracture and offset the detrimental effects of smoking. This resulted in fracture consolidation within a reasonable time and early weightbearing without complications.
The risks and complications associated with cigarette smoking are well documented. Ideally, the patient will start a smoking cessation program prior to elective surgery. The surgeon must be aware of the complications and make an effort to educate the patient of these risks.
Dr. Fallat is the Program Director of the Podiatric Surgery Residency at the Oakwood Annapolis Hospital within the Oakwood Healthcare System in Wayne, Mich. He is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. Chahal is a second-year podiatric surgery resident with the Oakwood Annapolis Hospital within the Oakwood Healthcare System in Wayne, Mich.