According to the Centers for Disease Control and Prevention (CDC), cigarette or tobacco smoking remains the number one cause of preventable illness, disability, and death in the US. Over 16 million Americans currently suffer from a chronic disease as a result of long-term smoking.
Besides causing significant damage to the organs, smoking can also affect the outcome and impede the recovery of patients undergoing surgical procedures. One good example is how smoking can complicate and reduce the success rate of knee replacement surgery.
Learn more about the hows and why’s as our board-certified orthopedic surgeon Dr. Imad Tarabishy discusses it below.
What is knee replacement surgery, and when is it needed?

Knee replacement surgery or knee arthroplasty is a procedure that involves the removal of damaged bone and cartilage surfaces in the knee joints. It is then replaced by an artificial implant which will be secured in the kneecap through metal screws and rods.
In general, orthopedic surgeons perform this procedure to treat defective knee joints, causing pain and disability. Your doctor will most likely recommend a knee replacement surgery for severe or chronic cases of the following diseases:
- Knee osteoarthritis and rheumatoid arthritis
- Irreversible knee joint damage caused by fracture, ligament injury, and cartilage tear.
- Tendinitis
- Traumatic injury
A knee replacement surgery can also become an option when conservative methods fail to treat your knee joint pain.

Why Smoking Can Be Harmful for Knee Replacement Surgery?
The harmful effects of smoking have been well-documented, and this includes negative impacts on the success of knee replacement surgery. Studies have linked smoking to slower wound healing, heightened risk of infection, and reduced bone density, all of which can hinder the outcome of knee replacement surgery.
Moreover, smoking has also been found to have detrimental effects on the lungs and respiratory system. This can make breathing difficult during and after surgery, increasing the likelihood of complications and prolonging recovery. Therefore, avoiding smoking after knee replacement surgery is crucial for optimum results.
How Smoking Can Affect Knee Replacement Surgery
According to the American Academy of Orthopaedic Surgeons, knee replacement surgery is a safe and effective procedure with a 90% success rate. In fact, 90% of these implants still function after 15 years and 82% after 25 years.
Additionally, patients undergoing the procedure rarely encounter any complications or problems. But the same cannot be said for avid cigarette and tobacco smokers. Here’s why:
Smoking damages the bones and circulatory system
Knee arthroplasty involves an incision to access the damaged knee joint, remove damaged tissue, and replace it with a prosthetic joint. This procedure requires increased bodily function for speedy recovery, but smoking can impede healing by hindering bone cell production and oxygenation.
Increases the chance of infection and wound risk
Smokers are at a higher risk for post-surgical complications, including infection and delayed wound healing, due to the harmful chemicals in cigarettes and tobacco that weaken the immune and circulatory systems. This can increase the chances of an infected wound and prolong the healing process.
Increases the chance of heart attack and pneumonia
Smoking harms the body’s organs, especially the heart and lungs. This puts smokers at a higher risk for heart and lung disease. When undergoing surgery, smokers may experience complications such as heart attack, breathing problems, pneumonia, and bronchospasm, which could be life-threatening.
Increases the chance of implant revision
The main concern for patients and doctors during knee replacement is the possibility of needing revision surgery. This may occur if the prosthetic joint does not relieve pain or if complications like infection or failed healing occur. Knee arthroplasty typically has a 90% success rate and can be a permanent solution, but the risk of a revision increases with smoking.
Significantly delays recovery and healing
Smoking contains numerous harmful chemicals, leading to diseases and hindering the body’s healing and recovery processes. Even after a knee replacement surgery, smokers may face further health complications like hip fractures and osteoporosis.
Quick Tips for Smokers Considering Knee Replacement Surgery
Whether you are a current or former smoker, these quick tips can help you prepare for a successful knee replacement surgery.
Quit Smoking Before Surgery
If you are a smoker, one of the most important steps you can take to prepare for knee replacement surgery is to quit smoking. While it may be challenging, it is crucial for a successful surgery and recovery. Consult with your doctor about a smoking cessation strategy and consider utilizing nicotine replacement therapies or enrolling in a support group to help you quit smoking after knee replacement surgery.
Start an Exercise Routine
Smoking can weaken muscles and bones, making it harder to recover from surgery. To help strengthen your body and prepare for knee replacement surgery, it’s important to start an exercise routine. This can include low-impact exercises such as walking, swimming, or biking. Consult with your doctor for a recommended exercise plan.
Eat a Healthy Diet
Your body needs proper nourishment to heal and recover from surgery. As a smoker, you may not be getting all the necessary nutrients. Focus on eating a well-balanced diet with plenty of fruits and vegetables, lean proteins, and whole grains. This will help boost your immune system and promote healing after surgery.
Get the Best Care for Knee Replacement Surgery
Are you or a loved one suffering from severe knee pain? Are simple everyday tasks like walking or climbing stairs becoming a struggle? Dr. Imad Tarabishy, one of the leading orthopedic doctors in Brooksville, FL, is here to help you regain mobility and quality of life through knee replacement surgery.
Dr. Tarabishy is a fellow at the American Academy of Orthopaedic Surgeons, specializing in treating various musculoskeletal conditions. He has provided his services in Florida for over 30 years, using advanced medical techniques in a state-of-the-art facility. He performs a wide array of orthopedic procedures, such as:
- Shoulder Arthroscopy
- Knee Replacement in Spring Hill
- Lovera Procedure
- Total Joint Replacement
- And many more!
Reap the full benefits of knee arthroscopy in Spring Hill by quitting smoking and other harmful vices. Take the first step towards a better quality of life with Dr. Tarabishy as your trusted surgeon. Quit smoking, and let us help you on your journey to healing and a successful post-knee replacement recovery. Contact us today and start your journey towards a healthier and happier you.

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The material on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions or concerns you may have regarding your health.