The drawings, with Professor Narakas’ written comments, are the most interesting part, the heart, of this work. To elucidate his treatment plan, it was necessary to add the clinical data, a summary of the primary surgery, and the eventual secondary procedures. A short comment is provided concerning the most important aspects of the intervention and outcome. The well-known charts complete this page. We wish to stress that in each case Professor Narakas emphasized the importance of a very detailed history of the trauma for assessing the severity of impact, its location, and the mechanism [24, 63, 126]. In his clinical examination he was very thorough; he examined each muscle, considered the appearance of the skin, assessed sensory function, and looked for a Tinel’s sign and a Horner’s syndrome. He paid special attention to pain. He noted associated injuries as these may indicate a double-level lesion or additional severity of the injury. Any associated vascular lesion can certainly aggravate the lesion and cause severe difficulties during surgical intervention .