Before going into surgery, it is necessary to quit smoking, as traumatologist-orthopedist Fanil Sabirov from the N.N. Priorova National Medical Research Center for Traumatology and Orthopedics of the Ministry of Health of Russia explained on aif.ru:
“Smoking reduces normal blood circulation, thereby decreasing the nourishment of peripheral tissues, including bones, with oxygen. Quitting smoking four or more weeks before surgery reduces the risk of postoperative complications and increases the favorable outcome by 19%, which is directly related to the improvement of peripheral blood supply.
Furthermore, smoking increases the risk of developing osteoporosis. As far back as the 1970s, it was proven that in women over 60 years old who smoke, there is a more pronounced decrease in bone mineral density compared to non-smokers. It has also been shown that non-smokers have a linear relationship between calcium intake and the bone mineral density of the vertebrae and hip, whereas this relationship is absent in smokers”.