Evaluation of Intraoperative Bleeding in Two-Part Proximal Humerus Fracture Surgeries

Introduction: Proximal humerus fractures are common orthopedic injuries, especially in elderly individuals, and their management is complex. Open Reduction and Internal Fixation (ORIF) and K-wire fixation are two common surgical methods used for treatment. This study aims to compare the intraoperative blood loss between these two techniques in patients with two-part proximal humerus fractures.Methods: This prospective study was conducted at Shohada Hospital, Tabriz University of Medical Sciences. Seventy patients with two-part proximal humerus fractures were included, meeting predefined inclusion and exclusion criteria. Patients were divided into two groups: ORIF and K-wire fixation. Intraoperative blood loss was measured and analyzed using standard surgical and laboratory protocols. Statistical analysis was performed using appropriate software.Results: The ORIF group exhibited significantly higher blood loss compared to the K-wire group. The mean blood loss in the ORIF group was ۲۰۰ mL, while the K-wire fixation group had a mean blood loss of ۷۰ mL. No significant differences in postoperative complications were observed between the two groups, though recovery time was shorter in the K-wire group.Conclusion: The study demonstrates that K-wire fixation results in significantly lower intraoperative blood loss compared to ORIF for managing two-part proximal humerus fractures. However, both techniques are effective, and the choice of method should depend on fracture complexity, patient factors, and surgeon expertise.

کلیدواژه ها:

Proximal Humerus Fractures ، open reduction and internal fixation ، K-wire Fixation ، Blood loss