Information for the public
Although there isn't much good evidence about this procedure, NICE has decided that it can be offered on the NHS to people with brachial plexus injury. There is not much evidence about how well the procedure works in the long term, and there is evidence that it can cause breathing problems. However, people with brachial plexus injury are often very disabled, and there are very few treatment options.
Hospital units that offer a range of treatment options, and are experienced in managing brachial plexus injuries, should decide which patients should be offered this procedure and should carry out treatment.
Your health professional should fully explain what is involved in having this procedure and discuss the possible benefits and risks with you, including that the procedure may not bring back the use of your arm, and may cause difficulties with breathing. You should also be told how to find more information about the procedure. All of this should happen before you decide whether you want to have this procedure or not.