Bone damage can arguably be the least concerned effect of tobacco, but can lead to long term affects such as osteoporosis.
According to Michael Zuscik, an orthopedic specialist at the University of Rochester, smokers who break a leg require approximately 62% more time to heal.
When smokers first learn of a problem that may require surgery, surgeons will often not perform the operation unless the patient quits smoking. This is due to the extreme high risk of failure of the surgery in smokers compared to non-smokers.
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