Sometimes with more severe brachial plexus injuries, there are stages of procedures to be undertaken. The operations required in a patient who has absolutely no movement in their limb are prone to more failures than those without. So to follow a patient for a period of at least three years is recommended. The procedures that don't work can often be replaced by a different type of backup procedure. For example, if a nerve transfer has failed, sometimes there is a muscle that can be transferred where muscle that can be transplanted later on to restore the critical missing function.
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