Three Austrian men underwent a new procedure called "bionic reconstruction" that enabled them to control a prosthetic hand with their minds. The technique involved selective nerve and muscle transfers, elective amputation, and replacement with an advanced robotic prosthesis. Following rehabilitation, the technique restored high-level function, allowing the men to accomplish everyday tasks like using keys or buttons. The procedure was developed to help patients who suffered brachial plexus injuries from accidents that limited hand function.

1. Mind-controlled bionics help
3 men take control
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2. Contd.
In a first, three Austrian men have undergone a new
procedure called “bionic reconstruction“, enabling each of
them to use a robotic prosthetic hand controlled by the mind.
The British Medical Journal Lancet will announce the
breakthrough on Wednesday. The technique was developed
by Oskar Aszmann, director of the Christian Doppler
Laboratory for Restoration of Extremity Function at the
Medical University of Vienna, along with engineers from the
department of neuro-rehabilitation engineering of the
University Medical Centre, Goettingen.
The technique combines selective nerve and muscle transfers,
elective amputation and replacement with an advanced
robotic prosthesis (using sensors that respond to electrical
impulses in the muscles). Following comprehensive
rehabilitation, the technique restored a high level of function
in all three recipients aiding in activities of daily living.
All three men are now able to accomplish various everyday
tasks such as picking up a ball, pouring water from a jug, using
a key , cutting food with a knife or using two hands to undo
buttons.
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3. Contd..
They suffered for many years with brachial plexus injuries and poor
hand function as a result of motor vehicle and climbing accidents.
The brachial plexus is a network of nerves that originates in the neck
region and branch off to form most of the other nerves that control
movement and sensation in the upper limbs including the shoulder,
arm, forearm and hand.
“In effect, brachial plexus avulsion injuries represent an inner
amputation, irreversibly separating the hand from neural control.
Existing surgical techniques for such injuries are crude and ineffective
and result in poor hand function,“ Aszmann said.
“The scientific advance here was that we were able to create and
extract new neural signals via nerve transfers amplified by muscle
transplantation. These signals were then decoded and translated into
solid mechatronic hand function,“ he added.
All three patients spent an average of nine months undergoing
cognitive training, firstly to activate the muscles and then to use the
electrical signals to control a virtual hand.
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