Intuitive (natural) control of every single finger of a bionic hand after a high amputation

Stepbystep description of an integrated humanmachine interface provided to a patient with aboveelbow amputation for the control of a prosthetic hand. Severed nerves were transferred to native muscles and free muscles grafts to create additional myoelectric sources for prosthetic control. A permanent osseointegrated interface provides direct skeletal attachment and allows for bidirectional communication with the prosthesis. The newly created electroneuromuscular constructs provide intuitive motor neural signals which can be decoded to control the prosthesis. This novel combination of surgical reconstruction procedures combined with a neuromusculoskeletal interface allows the patient to intuitively control all five fingers of a bionic hand. Article: Zbinden J. , Sassu P. , Mastinu E. , Earley E. , MunozNovoa M. , Brånemark R. , and OrtizCatalan M. , Improved control of a prosthetic limb by surgically creating electroneuromuscular constructs with implanted electrodes, Science Translational Medicine, 2023