Affiliation:
1. 5th Department of Orthopaedics The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan China
Abstract
AbstractThe meta‐analysis aims to assess and compare the effect of tobacco usage on surgical site wound problems (SSWPs) after primary total hip and total knee arthroplasty (PTH&TKA). Using dichotomous random‐ or fixed‐effects models, the outcomes of this meta‐analysis were examined, and the odds ratio (OR) with 95% confidence intervals (CIs) was computed. Fifteen studies from 2001 to 2023 were enrolled for the present meta‐analysis including 560 819 personals with PTH&TKA. Smokers had significantly higher SSWPs (OR, 1.53; 95% CI, 1.21–1.94, p < 0.001) compared with non‐smokers in personals with PTH&TKA. Current smokers had significantly higher SSWPs (OR, 1.59; 95% CI, 1.40–1.80, p < 0.001) compared with non‐smokers in personals with PTH&TKA. Current smokers had significantly higher SSWPs (OR, 1.42; 95% CI, 1.19–1.70, p < 0.001) compared with former smokers in personals with PTH&TKA. However, former smokers and non‐smokers had no significant difference in SSWPs (OR, 1.11; 95% CI, 0.95–1.30, p = 19) in personals with PTH&TKA. The examined data revealed that in personals with PTH&TKA smokers had significantly higher SSWPs compared with non‐smokers, and current smokers had significantly higher SSWPs compared with non‐smokers and former smokers; however, former smokers and non‐smokers had no significant difference in SSWPs. Yet, attention should be implemented while relating to its values since some of the comparisons were made using a low number of selected studies.