Is surgical intervention justifiable for total paralysis secondary to multiple avulsion injuries of the brachial plexus?

The authors have studied 28 patients with total paralysis of the upper extremity due to multiple avulsions of the brachial plexus nerve roots or rupture of the primary trunks of the branchial plexus. All 28 patients refused amputation, and the authors describe the value of the overall functional results realized by the patients, obtained by surgery versus amputation.