Amputations of the upper extremity are severely debilitating, current
treatments support very basic limb movement, and patients undergo extensive
physiotherapy and psychological counselling. There is no prosthesis that allows
the amputees near-normal function. With increasing number of amputees due to
injuries sustained in accidents, natural calamities and international conflicts,
there is a growing requirement for novel strategies and new discoveries.
Advances have been made in technological, material and in prosthesis integration
where researchers are now exploring artificial prosthesis that integrate with
the residual tissues and function based on signal impulses received from the
residual nerves. Efforts are focused on challenging experts in different
disciplines to integrate ideas and technologies to allow for the regeneration of
injured tissues, recording on tissue signals and feed-back to facilitate
responsive movements and gradations of muscle force. A fully functional
replacement and regenerative or integrated prosthesis will rely on interface of
biological process with robotic systems to allow individual control of movement
such as at the elbow, forearm, digits and thumb in the upper extremity.
Regenerative engineering focused on the regeneration of complex tissue and organ
systems will be realized by the cross-fertilization of advances over the past
thirty years in the fields of tissue engineering, nanotechnology, stem cell
science, and developmental biology. The convergence of toolboxes crated within
each discipline will allow interdisciplinary teams from engineering, science,
and medicine to realize new strategies, mergers of disparate technologies, such
as biophysics, smart bionics, and the healing power of the mind. Tackling the
clinical challenges, interfacing the biological process with bionic
technologies, engineering biological control of the electronic systems, and
feed-back will be the important goals in regenerative engineering over the next
two decades.