Adult brachial plexus injuries, primary repair

Brachial plexus injuries are among the most catastrophic disabilities of the man inmodern civilizations.Iran has one of the highest traffic accidents rates in the world and there are thousands of dead and injured recorded each year. The exact number of brachial plexus injuriesis not clear but with motorcycle accidents as the highest recorded injuries, it is notimpossible to predict how many brachial plexus injuries we might see in our practice.The low socioeconomic level of the society involved in this type of injuries shiftsthem to government and university hospitals to seek treatment.My personal experience with brachial plexus injuries is limited to 51 patients in a 25year span and only four patients were operated as a primary repair type of treatment.I will discuss my alibi small experience in treating these four patients.I urge the Iranian hand society and orthopedic society to write a mandate, requestinga center for biracial plexus injuries for these patients.