I read with interest the article by Griffin et al, BMJ 2014;349 (24 July 2014).
Smoking is known to be detrimental to wound healing and has been shown to be a risk factor for complications following calcaneus fracture surgery(1). 51% of patients within the operative arm of this study were smokers. There has been no sub-analysis of the results comparing smokers and non-smokers and I think that this is an important omission because of the high early complication rate. If smokers were excluded from the operative arm of this study how would this influence complication rate and outcome?
(1)Early Wound Complications of Operative Treatment of Calcaneus Fractures: Analysis of 190 Fractures. Journal of Orthopaedic Trauma: June/July 1999 - Volume 13 - Issue 5 - pp 369-372
Competing interests: No competing interests