‘Like a normal man’: How bionic limbs are helping Ukrainian troops injured in war
A tall man emerged from an array of gym equipment, walking towards me, slightly swaying as his prosthetic leg flexed and stepped in time with his natural one.
His right arm was missing, and his left was a smooth black prosthesis arm with his hands and fingers clenched in a fist.
He was introduced to me as Anton. I wasn’t sure how to greet him other than to say hello.
He saw my hesitation, and smiling he raised his left arm to shake my hand, his fingers opening and closing around my hand as we observed a customary gesture of greeting – a handshake.
His handshake was gentle and completely natural. I was simply amazed. I’ve never seen or experienced anything like it.
“Wow, it works,” I said.
“Yes, it does,” he replied with a smirk, and then carried on walking down the corridor.
This was to be a day of incredible experiences.
We are in the Tytanova Rehabilitation Centre in Kyiv. Much of it is a large gymnasium kitted out with state-of-the-art equipment designed for amputees to keep fit and rehabilitate.
The amputees are all soldiers injured in the war with Russia. These men may never fight again, but they’re in a renewed battle to rebuild their lives, and here they’re being helped with extraordinary technology.
It’s called osseointegration – a titanium implant that is connected to the bone of the patient and the prosthetic arm or leg clicks on to that.
But this is the remarkable bit. The nervous system in their limb is gone so they learn to send messages to their muscles and their new arm or leg comes alive, following instructions from their brain.
The technology was first used in Ukraine a year ago and can be used on all limbs.
We meet Oleksandr Solomiany, 48, who lost his right arm last December in the battle of Bakhmut in eastern Ukraine. Before the war, he was a tech entrepreneur specialising in the environment.
Oleksandr is still learning how to use his new arm. He walked us through a parking lot and into another building for another training session.
This isn’t a physical training session though, it’s a mental one. He will be practising how to teach his brain to command his muscles to move his bionic arm.
It’s his third session and he says it will take at least two or three more months before he gains the skills to fully operate it.
Oleksandr sits down and takes off his t-shirt, he then removes his bionic arm so that sensory wires can be attached to his amputated arm and to the chest and back muscles surrounding it.
The training session today will be with a bionic prosthetic arm that is not physically attached to him, only wired into him.
“What are you trying to do?” I ask him while he looks at a screen, concentrating hard.
“I imagine that I close my arm and rotate,” he tells me while moving the prosthetic using his brain and chest muscles.
Oleksandr’s trainer Yaroslav Patsukevych is a biomedical engineer who volunteers here.
48-year-old Oleksandr Solomiany who lost his right arm last December in the battle of Bakhmut in eastern Ukraine
He explains to me: “You can fool the system to overwrite the muscles that you usually use with your hands, for example, to teach the chest muscles to do the same thing.
“When the patient contracts his muscle, this prosthesis calibrates with his brain and recreates this command with the prosthesis.”
I asked Yaroslav where this prosthesis comes from. He told me the hand is made in Britain, the arm is made in America, and the technology is Swedish.
And the man – I think to myself – is Ukrainian.
Yaroslav Patsukevych (left) is helping Oleksandr learn to use his new limb
For Oleksandr, even though this is mental training it is physically draining. I ask him if it’s a big experience for him, realising that he can actually have an arm that works.
“It’s the first stage of [a] long, long way in my life. It’s only my first prosthesis and technologies never stop. I will expect another technology, like chip in the brain, or something else,” he replies.
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Oleksandr leads a very active life and has no regrets about his battle injury – the focus is now on the future.
“This arm helps me with my routine, with my everyday tasks. I feel better with this arm, like normal people, like a normal man.”
The osseointegration surgery costs £20,000 for each lost limb, while a prosthetic arm or leg costs £80,000.
Viacheslav Zaporozhets (right) founded Tytanova Rehab and also supports evacuations from the frontline
The founder of Tytanova Rehab, Viacheslav Zaporozhets, is a millionaire businessman who wanted to help with the war effort. He fundraises money to help more and more men, and he says the beneficial effects on the amputees are immediate.
“I’ll tell you this, we’re bringing them back to life, even in a psychological sense,” Viacheslav Zaporozhets says.
“I always say, you’re not broken. We’ll teach you how to drive, even how to swim.
“From day one, we demonstrate this. When a new patient arrives, a veteran greets them and shows them what they’ve learned to do.”
A soldier who lost both legs exercises at Tytanova Rehab, Kyiv
He and his organisation don’t just rehabilitate the injured, they also evacuate them from the frontlines.
With their 22 ambulances, they’ve saved the lives of over 30,000 men since the start of the war, bringing them to safety.
The figure is, frankly, mind-blowing.
This war has claimed the lives of huge numbers of fighting men, but the figure itself is not published.
But we do know that the number of living casualties will be much, much higher, and these “bionic men” are just a fraction of them.
Iran’s response to Israeli attacks on its nuclear facilities is “self-defence” and a “matter of principle”, the Iranian ambassador to the UK has told Sky News.
Speaking exclusively to The World With Yalda Hakim, Seyed Ali Mousavi said the “barbaric Israeli regime” is “violating international law” – describing Israel’s actions in recent days as “an act of aggression against the Iranian people”.
The conflict between Israel and Iran – once played out in a series of proxy wars – has escalated in the past three days.
Follow Israel-Iran conflict live
Sky’s Yalda Hakim spoke to Iran’s ambassador to the UK, Seyed Ali Mousavi
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Israel-Iran: How the conflict escalated
On Friday morning, explosions hit Tehran as Israel carried out a major attack on its top army leaders, nuclear sites, and nuclear scientists.
Iran threatened “severe punishment” and quickly retaliated with a wave of missiles.
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Missile aftermath in Israel
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Israeli missile hits warehouse in Iranian city
When questioned about whether Iran could continue fighting Israel, the Iranian ambassador told Yalda Hakim that “it is a matter of principle”.
He said: “This is about self-defence, there is no doubt about it.
“We are a responsible member state of the UN and we do all activities according to our international obligations.
“Any activities are only in the framework of self-defence.”
Damage from an Iranian missile attack to a building in Bat Yam, Israel. Pic: Reuters
Explosions over Jerusalem on Sunday
He added that his country would “do our best to preserve our territorial integrity”, and that “with the help of God”, Iran will “materialise endeavours concretely against our enemy – the Israeli regime”.
Mr Mousavi also told Hakim that Iran’s nuclear activities are “monitored”, and that recent comments by the International Atomic Energy Agency (IAEA) were “politically motivated”.
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Explosions over Jerusalem as missiles ‘detected’ by IDF
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Missiles have also been seen over Tel Aviv
The UN nuclear watchdog’s board of governors found Iran was not complying with its nuclear obligations for the first time in 20 years.
Iran said it has “always adhered” to the safeguarding obligations laid down by the watchdog.
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Iranian ambassador reacts to strikes – full interview
Announcing Operation Rising Lion on Friday, Israeli Prime Minister Benjamin Netanyahu claimed Iran had recently taken steps to weaponise enriched uranium, which could be used to make nuclear weapons.
But Mr Mousavi stressed that Iran’s “peaceful activities” at its “nuclear fields” were only for the “generation of electricity, and other peaceful” things.
Iran was due to continue its round of negotiations with the US in Muscat – however, this was cancelled, given recent tensions.
The government is warning people not to travel to Israel under any circumstances, as the country’s missile exchange with Iran shows no sign of abating.
On Friday, the Foreign Office warned against “all but essential travel” to most of Israel.
The areas around Gaza, the West Bank and the Golan Heights were already classed as red zones, with warnings to avoid travel to these areas.
But the government has now updated the warning for the remainder of the country to red.
Follow live: Tehran and Israel exchange strikes
This puts Israel on the same level as Iran, and the change of advice is also likely to impact travel insurance.
However, with Israel’s airspace closed, it is unlikely many people will be attempting the journey, and Israel’s national airline El Al has announced it is cancelling flights to and from many European cities, as well as Tokyo and Moscow, until 23 June.
The change in travel advice comes after a second night of ballistic missile barrages from Iran following Israel’s attack in the early hours of Friday morning.
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An eight-storey residential building in Tel Aviv was hit by a missile last night.
On Sunday morning, Israel’s health ministry said 12 people had been killed over the past day, taking the total since Friday to 15. It also said 385 people had arrived at hospital with injuries overnight.
Iran has not provided a total number of deaths or overall casualties, but has claimed dozens have been killed.
Iran’s health minister has said most of those injured and killed in Israeli strikes were civilians. According to comments carried by news agency IRNA, he said the majority were women and children.
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The chancellor said UK forces could “potentially” be used to help defend Israel.
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What is the UK doing?
The UK government is sending military assets, including fighter jets, to the Middle East.
While the prime minister would not confirm to reporters that UK forces could be used to defend Israel from future Iranian attacks, the chancellor told Sky News earlier that the government is “not ruling anything out”.
Speaking to Sky’s Sunday Morning With Trevor Phillips, Rachel Reeves said sending military assets to the Middle East “does not mean that we are at war”, and emphasised that “we have not been involved in these strikes or this conflict”.
“But we do have important assets in the region,” she continued. “And it is right that we send jets to protect them. And that’s what we’ve done. It’s a precautionary move, and at the same time, we are urging de-escalation.”
Pushed on the question of what the UK would do if Israel asked for support with its operations, the chancellor replied: “I’m not going to rule anything out at this stage. It’s a fast-moving situation, a very volatile situation. But we don’t want to see escalation.”
A helicopter carrying Hindu pilgrims has crashed in India, killing seven people on board.
The accident happened within minutes of the helicopter taking off, officials said, on what should have been a 10-minute flight.
The helicopter was flying to Guptkashi, a prominent Hindu pilgrimage site in the Himalayas, from Kedarnath temple town in the northern Indian state of Uttarakhand.
It comes three days after an Air India flight crashed less than a minute after taking off from Ahmedabad airport in northwestern India, killing at least 270 people.
The helicopter, which was operated by private helicopter service Aryan Aviation, went down in a forested area several miles from the Kedarnath pilgrimage route at around 5.30am local time.
Officials said the crash was believed to have been caused by poor weather conditions.
Authorities say they have launched a search and rescue operation and are expected to review operational protocols for flights in the region.
The dead include the pilot and pilgrims from the neighbouring state of Uttar Pradesh and western states of Maharashtra and Gujarat, according to officials. The bodies were badly burned in a fire that followed the crash, they said.
Smoke and debris at the site. Pic: Reuters
Tens of thousands of pilgrims visit Kedarnath, which is home to one of the four most sacred Hindu temple shrines, each summer. Many use helicopter services due to the difficult mountainous terrain.
Helicopter mishaps are not uncommon in the region, where sudden weather changes and high-altitude flying conditions can pose risks.
Earlier this month, a helicopter operating in the Kedarnath Valley made an emergency landing shortly after taking off on a highway due to a technical fault. The pilot was injured but all five passengers on board were unharmed.
In May, a helicopter crashed in Uttarkashi district, killing six people, including the pilot. One person survived.
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