Abstract：
Highly impaired individuals stand to benefit greatly from cutting-edge bionic technology, however concurrent functional deficits may complicate the adaptation of such technology. Here, we present a case in which a visually impaired individual with bilateral burn injury amputation was provided with a novel transradial neuromusculoskeletal prosthesis comprising skeletal attachment via osseointegration and implanted electrodes in nerves and muscles for control and sensory feedback. Difficulties maintaining implant hygiene and donning and doffing the prosthesis arose due to his contralateral amputation, ipsilateral eye loss, and contralateral impaired vision necessitating continuous adaptations to the electromechanical interface. Despite these setbacks, the participant still demonstrated improvements in functional outcomes and the ability to control the prosthesis in various limb positions using the implanted electrodes. Our results demonstrate the importance of a multidisciplinary, iterative, and patient-centered approach to making cutting-edge technology accessible to patients with high levels of impairment.
摘要：
高度受损的人将从尖端的仿生技术中受益匪浅，然而，并发的功能缺陷可能会使这种技术的适应复杂化。这里,我们介绍了一个案例,在该案例中,患有双侧烧伤截肢的视力受损者接受了一种新型的经桡骨神经肌肉骨骼假体,该假体包括通过骨整合的骨骼附着,以及用于控制和感觉反馈的神经和肌肉中的植入电极.由于他的对侧截肢，难以保持植入物的卫生以及穿脱假体。同侧眼球缺失,和对侧视力受损，需要对机电接口进行连续调整。尽管有这些挫折,参与者仍表现出使用植入电极在不同肢体位置控制假体的功能结局和能力方面的改善.我们的结果证明了多学科的重要性，迭代，以及以患者为中心的方法，使高度受损的患者可以使用尖端技术。
