What microsurgeon, orthopaedic and plastic surgeon should know about bionic hand
Marko Bumbaširević1, Aleksandar Lešić1, Tomislav Palibrk1
1Orthopedic and Traumatology University Clinic, Clinical Center of Serbia, Serbia; Faculty of Medicine, University of Belgrade, Serbia.
Injury
|November 7, 2019
Summary
Advancements in bionic hands aim to restore sensation and motor control for amputees. New implantable electrodes and surgical techniques promise improved function and reduced rejection rates compared to traditional prosthetics.
Area of Science:
- Biomedical Engineering
- Neuroprosthetics
- Orthopedics
Background:
- Hand loss presents significant challenges, driving the evolution of prosthetics from passive to advanced robotic solutions.
- Restoring natural sensation and motor control remains a critical unmet need in current prosthetic technology.
- Bionic limbs represent a multidisciplinary effort to bridge this gap, integrating medical and engineering expertise.
Purpose of the Study:
- To review current approaches for interfacing bionic hands with residual neuro-muscular structures.
- To discuss the advantages and disadvantages of various implantable electrode types (intramuscular, epineural, intraneural).
- To highlight the importance of surgical techniques in the development of advanced prosthetic limbs.
Main Methods:
- Review of different implantable electrode types for neuro-prosthetic interfaces.
- Discussion of surgical implantation techniques for residual limb integration.
- Analysis of historical prosthetic evolution and current technological advancements.
Main Results:
- Various implant types offer complementary benefits and drawbacks for prosthetic integration.
- Long-term implantable electrodes are being developed for natural sensory feedback and effortless control.
- Surgical techniques are crucial for successful prosthetic limb implementation.
Conclusions:
- Bionic hands offer a promising future for dramatically increasing health and quality of life for amputees.
- Advanced prosthetic technology, including improved sensory feedback and control, can significantly decrease rejection rates.
- Continued multidisciplinary collaboration is key to advancing neuroprosthetic limb development.


