Abstract:
Introduction: Permanent infirmity (disability) is defined as a functional limitation that restricts the ability of a person to perform the daily activities. The incidence of cranial bone defects related to head trauma have increased over the past decades. Cranioplasty could impact the work capability and employability. This study designed to assess the effect of cranioplasty as a method of skull repair on work capability of the patients and their employ‌ability. Subjects and Methods: The authors compared the work capability and employment of 35 patients with traumatic cranial bone defects after head trauma treated in the Neurosurgery Department of Assiut University Hospitals, Egypt from January 2013 to January 2018 before and after cranioplasty. Results: Before cranioplasty, 9 patients recorded that they were able to work without limitations according to the WHO classification, 6 patients recorded their ability to work with limitations and 20 recorded being unfit of working. After surgical reconstruction, 26 patients recorded they are able of working without limitations, 5 patients recorded they are able to work with limitations and 4 recorded being unfit to work for a variety of reasons. Conclusions: Cranioplasty is an efficient protective and cosmetic reconstructive operation, contributing to reduce disability and helping early return to work after traumatic cranial bone defects. This outcome may contribute to improved social and economic state of patients with cranial bone defects.