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Impact of Smoking on Orthopedic Surgeries Smoking negatively affects outcomes across several orthopedic procedures: Spine surgery higher risk of failed fusion and chronic back pain Fracture fixation delayed or non-healing fractures Hip replacement increased risk of infection and implant loosening Knee replacement slower recovery and reduced implant lifespan Multiple studies confirm that smokers experience significantly more complications compared to non-smokers

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[DOI] [PMC free article] [PubMed] [Google Scholar] 166.Gurley-Green S