‘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.
A woman has been arrested after 12 people were reportedly injured in a stabbing at Hamburg’s central train station in Germany.
An attacker armed with a knife targeted people on the platform between tracks 13 and 14, according to police.
They added that the suspect was a 39-year-old woman.
Police at the scene. Pic: AP
Officers said they “believe she acted alone” and investigations into the stabbing are continuing.
There was no immediate information on a possible motive.
The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.
The attack happened shortly after 6pm local time (5pm UK time) on Friday in front of a waiting train, regional public broadcaster NDR reported.
A high-speed ICE train with its doors open could be seen at the platform after the incident.
Railway operator Deutsche Bahn said it was “deeply shocked” by what had happened.
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Four tracks at the station were closed in the evening, and some long-distance trains were delayed or diverted.
Hamburg is Germany‘s second biggest city, with the train station being a hub for local, regional and long-distance trains.
In mid-May, the World Health Organisation assessed that there were “nearly half a million people in a catastrophic situation of hunger, acute malnutrition, starvation, illness and death”.
“This is one of the world’s worst hunger crises, unfolding in real time,” its report concluded.
Warning: This article contains images of an emaciated child which some readers may find distressing
Israel‘s decision this week to reverse the siege and allow “a basic level of aid” into Gaza should help ease the immediate crisis.
But the number of aid trucks getting in, so far fewer than 100 per day, is considered dramatically too few by aid organisations working in Gaza, and the United Nations accuses Israel of continuing to block vital items.
Israel-Gaza latest: Gaza enduring ‘atrocious death and destruction’, UN boss warns
“Strict quotas are being imposed on the goods we distribute, along with unnecessary delay procedures,” said UN secretary general Antonio Guterres in New York on Friday.
“Essentials, including fuel, shelter, cooking gas and water purification supplies, are prohibited. Nothing has reached the besieged north.”
Nineteen of Gaza’s hospitals remain operational, all of them are overwhelmed with the number of patients and a lack of supplies.
Baby Aya at Rantisi hospital in northern Gaza is dangerously thin
“Today, we receive between 300 to 500 cases daily, with approximately 10% requiring admission. This volume of inpatient cases far exceeds the capacity of Rantisi hospital, as the facility is not equipped to accommodate such large numbers,” Jall al Barawi, a doctor at the hospital, told us.
At least 94% of the hospitals have sustained some damage, some considerable, according to the UN.
Jall al Barawi, a doctor at Rantisi hospital
Paramedic crews are close to running out of fuel to drive ambulances.
The lack of food, after an 11-week blockade, has left thousands malnourished and increasingly vulnerable to surviving injuries or recovering from other conditions.
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Children are the worst affected.
Our team in Gaza filmed with baby Aya at the Rantisi hospital in northern Gaza. She is now three months old and dangerously thin.
Her skin stretches over her cheekbones and eye sockets on her gaunt, pale face. Her nappy is too big for her emaciated little body.
Aya’s nappy is too big for her emaciated little body.
Lethal spiral
Her mother Sundush, who is only 19 herself, cannot get enough food to produce breastmilk. Baby formula is scarce.
Aya, like so many other young children, cannot get the vital nutrition she needs to grow and develop.
It’s a lethal spiral.
This is what Aya looked like shortly after she was born
“My daughter was born at a normal weight, 3.5kg,” Sundush tells us.
“But as the war went on, her weight dropped significantly. I would breastfeed her, she’d get diarrhoea. I tried formula – same result. With the borders closed and no food coming in, I can’t eat enough to give her the nutrients she needs.”
“I brought her to the hospital for treatment, but the care she needs isn’t available.
“The doctor said her condition is very serious. I really don’t want to lose her, because I lost my husband and she’s all I have left of him. I don’t want to lose her.”
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Aya and her mother Sundush
Some of the aid entering Gaza now is being looted. It is hard to know whether that is by Hamas or desperate civilians. Maybe a combination of the two.
The lack of aid creates an atmosphere of desperation, which eventually leads to a breakdown in security as everyone fights to secure food for themselves and their families.
Only by alleviating the desperation can the security situation improve, and the risk of famine abate.
World
Police launch ‘major operation’ after 12 people injured in knife attack at Hamburg train station
Twelve people are reported to have been injured after a knife attack at Hamburg’s central train station.
A “major operation” has been launched and a suspect was arrested, police said in a post on X.
The identity of the suspect has not been revealed.
Reports in Germany said the suspected attacker was a woman.
The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.
Bild newspaper said the motive for the attack was so far unknown.
Hamburg is Germany’s second biggest city, with the train station being a hub for local, regional and long-distance trains.
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