The effect of non-tobacco nicotine on bone healing: a systematic review and application to total joint arthroplasty

Nicotine has a dose-dependent effect on bone healing, bone growth, and implant integration, as demonstrated in various animal and in vitro studies. However, the lack of human studies that isolate the effects of nicotine from those of tobacco or cigarette smoke underscores the urgent need for further research in this area.

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Publication Details

Journal
Journal of Orthopaedic Surgery and Research
Published
2026-03-04
DOI
https://doi.org/10.1186/s13018-026-06733-3
Primary Topic
Nicotinic Acetylcholine Receptors Study
Type
article
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article

The effect of non-tobacco nicotine on bone healing: a systematic review and application to total joint arthroplasty

Jonathan M. Stern, Victor H. Hernandez, Layal Hneiny, Colin McNamara et al.
Journal of Orthopaedic Surgery and Research
Nicotinic Acetylcholine Receptors Study
article

The effect of non-tobacco nicotine on bone healing: a systematic review and application to total joint arthroplasty

Jonathan M. Stern, Victor H. Hernandez, Layal Hneiny, Colin McNamara, Mary Moore, Faaris A. Khan, Levi M. Travis, J. Alfredo Schuster, John C. Cacciatore
article en

Abstract

Nicotine has a dose-dependent effect on bone healing, bone growth, and implant integration, as demonstrated in various animal and in vitro studies. However, the lack of human studies that isolate the effects of nicotine from those of tobacco or cigarette smoke underscores the urgent need for further research in this area.

Journal of Orthopaedic Surgery and Research
University of Miami (US), Florida Memorial University (US)
Good health and well-being
Openalex Percentile: Top 35%
Nicotinic Acetylcholine Receptors Study
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