Tobacco Smoking is Associated With More Pain and Worse Functional Outcomes After Torsional Ankle Fracture.

Document Type

Article

Publication Date

1-19-2022

Publication Title

OTA International

Abstract

OBJECTIVE: The purpose of this study was to assess the impact of current and remote tobacco smoking on clinical and functional outcomes after torsional ankle fracture.

METHODS: Nine hundred thirty-five patients treated surgically for torsional ankle fracture over 9 years were reviewed. Tobacco smoking status at the time of injury was defined as current (48.3%), former (11.7%), and nonsmoker (40.0%). Complications, unplanned secondary procedures, pain medication use, and functional outcome scores, as measured by Foot Function Index and Short Musculoskeletal Function Assessment (SMFA) surveys.

RESULTS: Mean age was 44.8 years, with 50.3% male. More than 6 months following injury current smokers were more likely than former smokers and nonsmokers to report ankle pain (67.8% vs 45.8% vs 47.5%) and to use prescription pain medicines (23.0% vs 10.4% vs 6.3%), all

CONCLUSION: Current smokers are more likely to use prescription pain medications several months after injury and have worse patient-reported functional outcome scores after surgical treatment of torsional ankle fractures than former smokers and nonsmokers.

Volume

5

Issue

1

First Page

e175

DOI

10.1097/OI9.0000000000000175

ISSN

2574-2167

PubMed ID

35059563

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