<s>[INST] Hi My brother met with an Accident in December 24th 2013 . Initially he was in comma and regained consciousness after 1 month . His right arm has a severe fracture and Jaw also got fractured. Now almost after 8 months we have been identified that he has Brachial Plexus injury . C4 and C7 are the affected one. It has broken at multiple places according to the initial MRI and EEG. ( Not sure about further medical terminologies ). What is the next suggested option . We are from Kerala, Trivandrum. Basically a lower middle class famiily. Requesting your help on Hospitals we can go for the treatment. Thanks [/INST] The repair of brachial plexus injury depends on the amount of disability your brother is having as well as the duration and severity of injury. If the nerve had been injured at multiple places, nerve interposition grafting may have to be done, i.e., another nerve from the leg may need to be connected in between.  In Kerala, for this you can go to Amrita institute. Otherwise, you can choose SIMIANS, Bengaluru. </s>