The management of brachial plexus injuries has been widely discussed and researched, especially in closed traction injuries. Open injuries with vascular compromise, often compromise the viability of the limb or the patient's life, are difficult to manage with different priorities, setup procedures varying findings regarding poor functional outcomes late diagnosis nerve injury. Questions arise from the standpoint of vascular and nerve injury. performed a systematic review of the literature, finding important points regarding the exploration, the timing of nerve repair but without establishing clear functional results to the methodological deficiencies of the studies found.