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首页> 外文期刊>Injury >Cigarette smoking and open tibial fractures.
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Cigarette smoking and open tibial fractures.

机译：吸烟和胫骨开放性骨折。

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Complication rates were compared in 140 smoking and 133 non-smoking patients with open tibial fractures. Both the groups were evenly matched demographically and in terms of primary fracture treatment. Flap failure complicated 7 (20%) patients in the smoking group and 4 (14%) in the non-smoking group. The mean time to union was 32 weeks for smokers and 28 weeks for non-smokers (P<0.05). Bone grafting to stimulate union was required in 36 (26%) smoking patients compared with 24 (18%) non-smoking patients. In patients treated by intramedullary nailing exchange, nailing to achieve union was carried out in 24 (38%) smoking cases compared with 13 (26%) of non-smoking cases. Smoking is associated with an increased risk of complications in patients with open tibial fractures. There is an increased rate of flap failure, delayed union and non-union. We recommend patients with open tibial fractures should be advised to stop smoking to minimise these complications.
机译：比较140名吸烟者和133名非吸烟者胫骨开放性骨折的并发症发生率。两组在人口统计学和初级骨折治疗方面均相匹配。皮瓣衰竭使吸烟组的7名患者（20％）和非吸烟组的4名患者（14％）复杂化。吸烟者平均参加工会时间为32周，非吸烟者平均参加工会时间为28周（P <0.05）。吸烟的患者中有36（26％）位需要进行植骨以刺激愈合，而非吸烟的患者则需要24位（18％）。在接受髓内钉交换治疗的患者中，有24例（38％）吸烟病例进行了钉扎以实现愈合，而非吸烟病例中有13例（26％）进行了钉扎。吸烟与胫骨开放性骨折患者发生并发症的风险增加相关。皮瓣衰竭，延迟的愈合和不愈合的发生率增加。我们建议胫骨开放性骨折的患者应建议戒烟以最大程度地减少这些并发症。

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