Abstract

Abstract
Background: This study aimed to evaluate the functional outcomes of early microsurgical repair of the superficial branch of the radial nerve (SBRN) following nerve transection.
Methods: Patients who underwent surgical treatment for SBRN transection between 2023 and 2024 and had a minimum follow-up period of 12 months were retrospectively reviewed. Patients who underwent epineural end-to-end nerve repair were included in the study. Sensory recovery was assessed using the Semmes-Weinstein monofilament test, and pain levels were evaluated with the Visual Analog Scale (VAS). Patient satisfaction was measured via a specifically designed questionnaire.
Results: A total of 11 patients who met the inclusion criteria were evaluated. The mean age of the patients was 24 years, with a mean follow-up duration of 13.4 months. A noticeable decrease in VAS scores was observed in the postoperative period (preoperative: 5.45, postoperative: 1.09). Most patients demonstrated sensory improvement based on the Semmes-Weinstein monofilament test. No cases of painful neuroma were reported. According to the satisfaction survey, 7 patients reported being "very satisfied," while 4 reported being "satisfied."
Conclusion: Early microsurgical repair of SRN injuries yields favorable functional outcomes. This approach is effective in both preventing neuroma formation and restoring sensory function. These findings should be supported by larger-scale, prospective studies.

Key words: Microsurgery, Primary repair, Superficial radial nerve