Bionic Reconstruction: The New Frontier

Abstract

Global brachial plexus lesions including avulsion of nerve roots represent one of the most severe nerve injuries, leading to life-long neurological deficits. Primary and secondary reconstructive procedures are able to provide a stable shoulder and restore sufficient elbow function. Still, the restoration of useful hand function remains a major goal in this patient population. In patients presenting with a hand beyond biological repair, prosthetic limb replacement offers a valuable option to restore useful hand function for daily life activities. Here we present our concept of bionic reconstruction, which was successfully applied, to patients suffering a functionless hand after severe brachial plexus lesions, massive tissue loss, or congenital limb deficiencies.