Functional Recovery, Quality of Life, and Return to Work After Surgical Repair of Traumatic Hand Nerve Injuries: A 6-Month Prospective Study

Background: Traumatic injuries to the peripheral nerves of the hand can result in significant functional impairment, reduced quality of life (QoL), and delayed or unsuccessful return to work (RTW). Despite advances in microsurgical techniques, recovery remains challenging for many patients. Objective: This prospective study aimed to evaluate the functional recovery, QoL outcomes, and RTW rates of patients undergoing surgical repair for hand nerve injuries over a six-month period. Methods: A total of 100 patients aged 18–48 years underwent surgical intervention within 48 hours following hand nerve injury. Functional outcomes were assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and QoL was measured with the Short Form-36 (SF-36). RTW data were collected through interviews at 6-month follow-up. Statistical analyses were performed using paired t-tests and chi-square tests. Results: The mean DASH score improved from 74.6 at baseline to 42.3 and 26.1 at 3 and 6 months, respectively (p < 0.001). The total SF-36 score increased from 42.8 to 71.4 over the same period (p < 0.001), with significant gains in the physical function, social engagement, and pain domains. At 6 months, 34% of patients had returned to work, with higher RTW rates among individuals with stable employment and isolated nerve injury. Conclusion: Early surgical intervention after traumatic hand nerve injury leads to notable improvements in function and quality of life. However, the RTW remains suboptimal, especially among those in physically demanding jobs. Comprehensive rehabilitation strategies that incorporate vocational support are required to enhance occupational outcomes.