Das Freehand®-System: Eine implantierbare Neuroprothese zur funktionellen Elektrostimulation der oberen Extremität

摘要: We report on the first experience with Freehand system in German-speaking countries, an implantable neuroprosthesis developed for functional electrical stimulation of upper extremity. Indications its use are neurological deficits cervical spinal cord active mobility shoulder and elbow flexion tetraplegics, ideally C5/6 tetraplegics. A further precondition implantation this is intact reflex arc muscles that to be stimulated, i.e. forearm hand. Central defects such as hemiparesis, cerebral palsies or athetoid disorders peripheral nerve (e.g. brachial plexus lesions) no good indications system. patient selection criteria, preoperative percutaneous stimulation, surgical procedure itself optional tendon transpositions, intensive postoperative rehabilitation program until able independently life-long after-care.