40 Days Post-Humerus Fracture Surgery: Recovery and Smoking Concerns

40 days post humeral fracture surgery?

Hello, doctor.
I have a proximal humerus and humeral shaft fracture, and I have left radial nerve palsy.
It has been forty days since my surgery, and I am experiencing postoperative adhesions.
I am actively undergoing rehabilitation and am still improving.
Previously, I had to use a sling, but during my follow-up appointment last week, the doctor assessed that I no longer need to wear it.
However, I have a history of smoking and would like to ask:
1.
Is it okay to smoke one cigarette every three to four days now?
2.
Do I have to wait three months before I can smoke?
I found online that smoking after surgery might lead to nonunion and hinder healing.
While I can accept a delayed recovery time, I am concerned about the possibility of not healing properly.
Thank you.

Fa, 20~29 year old female. Ask Date: 2021/05/14

Dr. Shi Guozheng reply Orthopedics

According to medical research, smoking affects blood circulation, which can further impede bone healing.
Therefore, it is recommended to avoid smoking until the fracture has healed.
If healing does not occur, another surgery may be necessary.

Reply Date: 2021/05/14

More Info

After undergoing surgery for a humeral fracture, it's understandable to have concerns about recovery, especially regarding the impact of smoking on bone healing. The healing process for fractures can be complex and is influenced by various factors, including the type of fracture, the surgical technique used, and the patient's overall health and lifestyle choices.

Firstly, regarding your question about smoking: it is well-documented in medical literature that smoking can significantly impair bone healing. Nicotine and other harmful substances in cigarettes can reduce blood flow to the bones, which is crucial for the healing process. This reduced blood flow can lead to delayed healing or even nonunion, where the bone fails to heal properly. Given that you are 40 days post-surgery, it is advisable to avoid smoking altogether, as even occasional smoking can hinder your recovery.
To address your specific questions:
1. Can you smoke three to four cigarettes every few days? It is highly recommended to refrain from smoking entirely during your recovery period. While you may feel tempted to smoke occasionally, doing so can jeopardize your healing process. The best course of action is to quit smoking completely, especially since you are still in the early stages of recovery.

2. Do you need to wait three months before smoking? While some sources suggest that the negative effects of smoking on bone healing may diminish after a few months, it is best to avoid smoking for as long as possible. The critical period for bone healing is typically the first three months post-surgery, during which the risk of complications is highest. Therefore, waiting at least three months, if not longer, before considering smoking again is advisable. However, the safest option is to quit smoking permanently.

In addition to smoking cessation, it is essential to continue with your rehabilitation exercises as prescribed by your healthcare provider. Engaging in physical therapy can help improve mobility, strength, and function in the affected arm. If you are experiencing adhesions or stiffness, your physical therapist can guide you through specific exercises to address these issues.
Moreover, maintaining a healthy diet rich in calcium and vitamin D can support bone healing. Foods such as dairy products, leafy greens, and fatty fish are excellent sources of these nutrients. Staying hydrated and avoiding alcohol can also contribute positively to your recovery.

Lastly, keep in close communication with your healthcare provider regarding your progress. Regular follow-ups and imaging studies, such as X-rays, can help monitor the healing process and ensure that you are on the right track. If you have concerns about pain, mobility, or any other symptoms, do not hesitate to reach out to your doctor for advice.

In summary, prioritize your recovery by avoiding smoking, adhering to your rehabilitation program, and maintaining a healthy lifestyle. Your commitment to these practices will significantly enhance your chances of a successful recovery and return to normal activities.

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