OUTCOME OF SURGICAL TREATMENT OF BRACHIAL PLEXUS INJURIES IN A TERTIARY CARE HOSPITAL OF PAKISTAN AND ITS IMPACT ON PSYCHOSOCIAL STATUS.

ABSTRACT: Background: Brachial plexus injuries (BPI) are severe injuries that cause significant physical disability and functional impairment. This study aimed to investigate motor recovery, functional ability, and psychological well-being after surgical treatment for BPI in a developing country. Methods: A retrospective study was conducted at Mayo Hospital Lahore, including 12 patients who underwent surgical intervention for BPI. Motor function was assessed using the British Medical Research Council grading system, functional ability was evaluated using the QuickDASH score, and psychological well-being was assessed using the Patient Health Questionnaire-8. Results: The study found varying degrees of motor recovery, with an average MRC grade of 4.2. Functional assessment revealed moderate disability in all patients, with an average QuickDASH score of 40.15. Psychological assessment showed no signs of depression in all patients, with an average PHQ-8 score of 4. Conclusion: The study highlights the importance of incorporating psychological assessments into initial evaluations to ensure comprehensive care and support for these patients. Further research is needed to fully understand the complexities of BPI and their impact on patients' lives. Keywords: brachial plexus, psychological impact, BPI, QuickDASH, Functional outcome