‘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.
World
Arrest warrants issued for Israeli PM Netanyahu and former defence secretary Gallant and senior Hamas commander over alleged war crimes
Arrest warrants have been issued for Israeli Prime Minister Benjamin Netanyahu, former defence secretary Yoav Gallant and a senior Hamas commander by the International Criminal Court (ICC).
The warrants against the senior Israeli figures are for alleged war crimes and crimes against humanity related to the war in Gaza that Israel launched following the 7 October attacks by Hamas.
The prime minister’s office said the warrants against him and Gallant were “anti-semitic” and said Israel “rejects with disgust the absurd and false actions”.
Another warrant was issued for the arrest of Hamas leader Mohammed Diab Ibrahim al Masri for alleged war crimes and crimes against humanity.
Al Masri, also known as Mohammed Deif, was the mastermind behind the 7 October attacks. It is unclear if he is still alive, following an airstrike that Israel claimed killed him earlier this year.
Neither Israel nor the US are members of the ICC. Israel has rejected the court’s jurisdiction and denies committing war crimes in Gaza.
US President Joe Biden described the warrants against Israeli leaders as “outrageous”, adding “whatever the ICC might imply, there is no equivalence – none – between Israel and Hamas”.
Former Israeli prime minister Naftali Bennett said the warrants for Netanyahu and Gallant were a “mark of shame” for the ICC.
The court originally said it was seeking arrest warrants for the three men in May for the alleged crimes and today announced that it had rejected challenges by Israel and issued warrants of arrest.
The new UK Labour government said in the summer it would not oppose the ICC’s right to issue the warrants.
Benjamin Netanyahu addresses the UN general assembly. Pic: Reuters
Warrants for Netanyahu and Gallant
In its update, the ICC said it found “reasonable grounds to believe” that Netanyahu and Gallant “bear criminal responsibility” for alleged crimes.
These, the court said, include “the war crime of starvation as a method of warfare; and the crimes against humanity of murder, persecution, and other inhumane acts”.
Netanyahu previously spoke of his “disgust” at the suggestion the ICC would seek an arrest warrant for him.
The Board of Deputies of British Jews said the ICC’s decision sent a “terrible message”.
“The court has minimised how Hamas fights – deliberately from within civilian infrastructure and cruelly using Palestinian civilians as human shields, tragically leading to many casualties,” the board said.
“Democratic governments, and people around the world, should consider how they would have responded to an October 7th perpetrated against their country, involving mass murder, rape, and hostage-taking.
“We should all be focused on defeating the Hamas terrorists, liberating the hostages, ensuring that civilians in Gaza receive all necessary aid and working towards a sustainable peace for Israelis and Palestinians to prevent these horrible conflicts in the future.
“The decision of the ICC is counter-productive in all these respects.”
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A video released by Hamas in 2005 shows a man identified as Mohammed Deif. Pic: AP
Warrant for Hamas leader
The ICC also said it has issued an arrest warrant for Hamas leader Al Masri, saying it has “reasonable grounds to believe” that he is responsible for crimes against humanity including murder, extermination, torture, rape, as well as war crimes including taking hostages.
Discussing the 7 October attacks, the court said: “In light of the coordinated killings of members of civilians at several separate locations, the Chamber also found that the conduct took place as part of a mass killing of members of the civilian population, and it therefore concluded that there are reasonable grounds to believe that the crime against humanity of extermination was committed.”
In its statement, the ICC said the prosecution was not in a position to determine whether Al Masri is dead or alive, so was issuing the arrest warrant.
The court previously said it was seeking an arrest warrant for Ismail Haniyeh, the leader of Hamas who was subsequently killed in July.
The home secretary has refused to say if Israeli Prime Minister Benjamin Netanyahu would be arrested if he landed on British soil after an international arrest warrant was issued for him.
On Thursday, the International Criminal Court (ICC) issued arrest warrants for Netanyahu and former Israeli defence secretary Yoav Gallant for alleged war crimes and crimes against humanity related to the war in Gaza.
But Yvette Cooper said the ICC, which the UK is a member of, is independent and while the government respects that, it “wouldn’t be appropriate for me to comment” on the processes involved.
She told Sky News: “We’ve always respected the importance of international law, but in the majority of the cases that they pursue, they don’t become part of the British legal process.
“What I can say is that obviously, the UK government’s position remains that we believe the focus should be on getting a ceasefire in Gaza.”
However, Emily Thornberry, Labour chair of the foreign affairs committee in parliament, told Sky News: “If Netanyahu comes to Britain, our obligation under the Rome Convention would be to arrest him under the warrant from the ICC.
“Not really a question of should, we are required to because we are members of the ICC.”
The government said after winning July’s election it would not oppose the ICC’s right to issue the warrants.
An ICC arrest warrant was also issued for Hamas leader Mohammed Diab Ibrahim al Masri, the mastermind behind the 7 October attacks in Israel, for alleged war crimes and crimes against humanity.
Israel claims Al Masri was killed earlier this year but the ICC said that has not been confirmed, so it was issuing the arrest warrant.
Benjamin Netanyahu and Yoav Gallant (right) have arrest warrants against them. File pic: Reuters
Netanyahu’s office said the warrants against him and Gallant were “anti-semitic” and said Israel “rejects with disgust the absurd and false actions”.
Neither Israel nor the US are members of the ICC. Israel has rejected the court’s jurisdiction and denies committing war crimes in Gaza.
US President Joe Biden described the warrants against Israeli leaders as “outrageous”, adding: “Whatever the ICC might imply, there is no equivalence – none – between Israel and Hamas.”
Former Israeli prime minister Naftali Bennett said the warrants for Netanyahu and Gallant were a “mark of shame” for the ICC.
The Board of Deputies of British Jews said the ICC’s decision sent a “terrible message”.
Hungarian Prime Minister Viktor Orban said on Friday he would invite Netanyahu to visit Hungary and he would guarantee the arrest warrant would “not be observed”.
However, both France and Italy signalled they would arrest Netanyahu if he came to their countries.
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Why have arrest warrants been issued?
The ICC originally said it was seeking arrest warrants for the three men in May for the alleged crimes and on Thursday announced that it had rejected challenges by Israel and issued warrants of arrest.
In its update, the ICC said it found “reasonable grounds to believe” that Netanyahu and Gallant “bear criminal responsibility” for alleged crimes.
These, the court said, include “the war crime of starvation as a method of warfare; and the crimes against humanity of murder, persecution, and other inhumane acts”.
It is the first time a sitting leader of a major Western ally has been accused of war crimes and crimes against humanity by a global court of justice.
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