Decision-making and cost-utility analysis of treatment options for brachial plexus injuries

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Although free functional muscle transfer (FFMT) provides improved functional outcomes, the final result of this procedure is only rudimentary grasp and weak power grip. The purpose of this study is to conduct a decision analysis and cost-utility analysis comparing the following 4 treatment options for brachial plexus injury (BPI): (1) double FFMT, (2) single FFMT, (3) amputation and shoulder stabilization, and (4) no treatment. We will show which treatment option is most cost-effective and which has the most impact on the patients' quality of life.