DOI: 10.36347/sjams.2016.v04i09.034

Pages: 3340-3348

The objective is to review the systemic impact of smoking on bone healing and the outcome on fracture of the shaft of the tibia in the age group of 18 to 60 years. Does smoking have a strong relation with fracture healing? Screening, data abstraction and quality assessment was conducted by three review authors. Study conducted retrospectively, in Yenepoya Medical College. Data collected from 2005 to 2015, only closed tibia shaft fractures in the age group of 18 to 60 in males. A total of 150 cases were collected according to the inclusion and exclusion criteria. Out of 150 cases 75 each in united and non-united groups. Case control study was done in a retrospective manner. The primary outcome measures were based on clinical and/or radiological indicators of bone healing. Total 150 patients included and examined clinically and radiologically, out of that 75 unions and 75 non union.72.4% in non union groups are smokers and 27.6% in union groups are smokers. P value shows <0.001 and is considered significant. Smoking has a strong effect on bone healing, in terms of delayed union and non union. Before surgery one should properly elicit the history of smoking and should explain the implications of that to the patient.