Surgical innovations enable amputees to control over every finger of a bionic hand

Researchers have achieved a major breakthrough in the field of prosthetics

bionic-hand-developed-in-the-UK-reu Bionic hand developed in the UK | Reuters

For the first time, an individual with an arm amputation has gained the ability to manipulate each finger of a bionic hand with remarkable precision and fluidity, as if it were their own natural hand. This remarkable achievement offers renewed hope and opens up new possibilities for amputees worldwide.

The revolutionary breakthrough stems from a collaborative effort between a multidisciplinary team of surgeons and engineers. Led by Professor Max Ortiz Catalan, a renowned expert in bionics and neural prosthetics, the team successfully reconfigured the residual limb of the patient and incorporated implanted sensors and a skeletal implant, enabling seamless electrical and mechanical connectivity with the bionic hand.

Traditional prosthetic limbs have often posed challenges in terms of control and reliability, with limited movements available to the user. In this case, however, the team overcame these limitations by utilizing the remnant muscles in the residual limb as a source of control. By contracting these muscles, the electrical activity generated can be translated into specific movements of the bionic hand, such as opening and closing the fingers. This approach has shown significant promise, particularly for amputations above the elbow where fewer muscles are available for control.

The surgical procedure, carried out at the Sahlgrenska University Hospital in Sweden, involved rewiring nerves to different muscle targets in a distributed and concurrent manner. This innovative technique not only proved to be possible but also enhanced the control capabilities of the prosthetic hand. Furthermore, sensors were embedded in the neuromuscular constructs during the surgery, which were then seamlessly connected to the electronic system of the prosthesis via an osseointegrated interface. Artificial intelligence algorithms were employed to translate the user's intentions into precise movements of the bionic hand.

Dr. Rickard Brånemark, an esteemed research affiliate at MIT and CEO of Integrum, who conducted the implantation of the interface, expressed his satisfaction with the results, stating, "It is rewarding to see that our cutting-edge surgical and engineering innovation can provide such a high level of functionality for an individual with an arm amputation. This achievement is based on over 30 years of gradual development of the concept, in which I am proud to have contributed."

The concept of osseointegration, which involves attaching the prosthesis to the residual bone using a titanium implant, proved instrumental in ensuring the comfort and stability of the prosthetic limb. Unlike the traditional socket attachment method, osseointegration provides a more efficient mechanical connection, improving the overall functionality of the bionic hand.

The research team believes that this breakthrough could have a transformative impact on the lives of individuals who have suffered arm amputations. By combining state-of-the-art microsurgical techniques with advanced implanted electrodes, the patient not only gains single-finger control of the prosthetic arm but also sensory feedback, allowing for a more natural and immersive experience.

Dr. Paolo Sassu, who led the neuromuscular reconstruction procedure and previously conducted the first hand transplantation in Scandinavia, expressed his enthusiasm for the collaboration, stating, "The incredible journey we have undertaken together with the bionic engineers at CBPR has allowed us to combine new microsurgical techniques with sophisticated implanted electrodes that provide single-finger control of a prosthetic arm as well as sensory feedback. Patients who have suffered from an arm amputation might now see a brighter future."

As this breakthrough paves the way for more refined surgical procedures and enhanced prosthetic control, individuals with arm amputations can look forward to improved quality of life, increased independence, and expanded opportunities. The successful integration of cutting-edge technology with the human body represents a significant stride forward in the field of bionics and holds promise for the advancement of prosthetic technology in the years to come.