Bionic reconstruction : Restoration of extremity function with osseointegrated and mind-controlled prostheses
Martin Aman1,2, Christopher Festin1, Matthias E Sporer1,2
1CD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Wiener Klinische Wochenschrift
|June 16, 2019
Summary
Bionic reconstruction restores extremity function through nerve transfers and osseointegration, enabling intuitive prosthetic use. This sophisticated method is now a standard of care for upper extremity amputations, aiding patient reintegration.
Area of Science:
- Biomedical Engineering
- Reconstructive Surgery
- Rehabilitation Medicine
Background:
- Limb loss significantly impacts patient quality of life.
- Bionic reconstruction offers a pathway to restore function and daily living.
- Key surgical techniques include nerve transfers and osseointegration.
Purpose of the Study:
- To detail the concept and approach of modern bionic reconstruction.
- To present a clinical case illustrating the TMR and osseointegration procedure.
- To compare bionic reconstruction with hand transplantation.
Main Methods:
- Selective nerve transfer for targeted muscle reinnervation (TMR).
- Osseointegration for secure prosthesis anchoring.
- Structured rehabilitation programs tailored to patient needs.
Main Results:
- Restoration of basic hand functions and improved bimanual dexterity.
- Enhanced ability for patients to engage in daily activities.
- Comparison of bionic reconstruction with hand transplantation, including limitations.
Conclusions:
- Bionic reconstruction is a sophisticated, standard-of-care method for extremity function restoration.
- An interdisciplinary approach is crucial for successful prosthetic integration.
- Structured rehabilitation is essential for mastering prosthetic function and patient reintegration.
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