One of the main stabilizing structures of the knee is the Anterior Cruciate Ligament (ACL). ACL tears often require surgery to stabilize the knee and allow patients to return to work or athletic activities. ACL surgery has evolved over time and with current surgical techniques patients should be able to return to sports after most ACL reconstruction.
In an effort to optimize recovery and determine how to get the best results from knee surgery, researchers at the University of Virginia investigated the connection between smoking and the outcome of ACL surgery. In the study they identified smoking to be linked with worse outcomes and higher infection rates and risks of blood clots. Additionally, they identified a higher risk of needing another ACL surgery in the future.
The risks were significant and led to a worse outcome in patients who smoked versus patients who did not smoke. This is yet another research study that demonstrates that patients should come out of surgery better the healthier they come into surgery.
Prior to surgery I often encourage patients to do physical therapy, work on motion and leg muscle strength, work on swelling, and improve their diet. I also counsel patients about the effects of smoking and this study is proof that patients can have a better long-term outcome by quitting prior to surgery and during recovery. Other studies have demonstrated that the negative effects of smoking can be decreased in just 2 weeks of quitting. If done prior to surgery, quitting smoking will likely lead to better outcomes.
With modern ACL reconstruction techniques, I expect my patients to be able to return to full athletic activities. A large part of achieving an excellent outcome starts with the patient entering surgery healthy and ready for recovery. Please contact us if you are experiencing a knee injury and want to work together towards the best treatment and positive results.
Andrew Merritt, MD
Proliance Orthopedic Associates
Sports Medicine, Joint Replacement, Arthroscopic Surgery
You can see Dr. Merritt by appointment at Proliance Orthopedic Associates. Please call (425) 656-5060 if you require orthopedic surgery or other orthopedic treatment for ACL tears and other injuries.