Smoking during limb reconstruction

This resource is for children who are having limb reconstruction treatment.

We know that new bone formation is affected by smoking, which includes passive smoking (breathing in other people’s smoke) and the use of e-cigarettes (vapes).

How long will my child’s external fixator be needed?

The making of new bone is an important part of the limb reconstruction process. Smoking and passive smoking can lead to your child’s fixator being in place much longer because the bone forms more slowly.

Nutrients are carried in the blood to help heal bones. Smoking and passive smoking limits that blood flow and makes it harder for nutrients to get to the bone. It can also increase the risk of complications.

What can we do if we smoke?

This could be a great opportunity for your family to stop smoking. We have a smoking referral service, just ask one of our team for more information.

You may be able to get help to stop smoking at your GP’s surgery.

If your child smokes, is important that they stop smoking for a least 6 weeks before their fixator is applied. They should also not smoke when the fixator is in place.

Passive smoking

Breathing in another person’s smoke fumes can slow down your child’s bone formation.

Encourage family and friends not to smoke in your child’s presence, especially in a car and other closed spaces. They should remove their outer layer of clothing (such as coats) that they have smoked in and keep it away from your child.

Avoid going to places with smoky atmospheres when your child’s fixator is in place.

Although the advice in this leaflet may appear difficult and harsh, we all want the best results for you or your child from the limb reconstruction treatment you have chosen.