Does Smoking Affect Implant Survivorship in Total Hip Arthroplasty? 2005
Russell D Meldrum, MD, L Daniel Wurtz, MD, Judy R Feinberg, PhD, and William N Capello, MD
…In summary, in this series of 147 patients (165 hips) followed an average 13 years after total hip arthroplasty, there was a significantly greater rate of component revision for aseptic loosening in patients who smoked at the time of THA and who continued to smoke for years afterward. Further study is needed to determine the extent to which smoking contributes to aseptic loosening in relationship to other known contributing factors, and whether there is a smoking dose relationship.