Plastic and Reconstructive Surgery

Skip Navigation LinksHome > December 2013 - Volume 132 - Issue 6 > Innovations in Prosthetic Interfaces for the Upper Extremity
Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3182a97e5f
Hand/Peripheral Nerve: Special Topic

Innovations in Prosthetic Interfaces for the Upper Extremity

Kung, Theodore A. M.D.; Bueno, Reuben A. M.D.; Alkhalefah, Ghadah K. M.B.B.S.; Langhals, Nicholas B. Ph.D.; Urbanchek, Melanie G. Ph.D.; Cederna, Paul S. M.D.

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Summary: Advancements in modern robotic technology have led to the development of highly sophisticated upper extremity prosthetic limbs. High-fidelity volitional control of these devices is dependent on the critical interface between the patient and the mechanical prosthesis. Recent innovations in prosthetic interfaces have focused on several control strategies. Targeted muscle reinnervation is currently the most immediately applicable prosthetic control strategy and is particularly indicated in proximal upper extremity amputations. Investigation into various brain interfaces has allowed acquisition of neuroelectric signals directly or indirectly from the central nervous system for prosthetic control. Peripheral nerve interfaces permit signal transduction from both motor and sensory nerves with a higher degree of selectivity. This article reviews the current developments in each of these interface systems and discusses the potential of these approaches to facilitate motor control and sensory feedback in upper extremity neuroprosthetic devices.

©2013American Society of Plastic Surgeons


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