{"id":4556,"date":"2025-10-09T22:08:50","date_gmt":"2025-10-09T20:08:50","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=4556"},"modified":"2025-12-14T16:28:32","modified_gmt":"2025-12-14T14:28:32","slug":"%d0%bf%d1%80%d0%be%d1%82%d0%b5%d0%b7%d1%83%d0%b2%d0%b0%d0%bd%d0%bd%d1%8f-%d1%96-%d1%80%d0%b5%d0%b0%d0%b1%d1%96%d0%bb%d1%96%d1%82%d0%b0%d1%86%d1%96%d1%8f-%d0%bf%d0%be%d1%80%d0%b0%d0%bd%d0%b5%d0%bd","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/4556","title":{"rendered":"Prosthetic care and rehabilitation of the wounded in the conditions of the modern war of independence of Ukraine: coverage of the experience of the first decade (2014-2024) in terms of history of science and technology"},"content":{"rendered":"<p><strong>Prof. I. Robak<sup>1<\/sup>, assoc. prof. H. Demochko<sup>2<\/sup><\/strong><\/p>\n<p><strong>1National Technical University \u00abKharkiv Polytechnic Institute\u00bb<\/strong><\/p>\n<p><strong>2Kharkiv National Medical University<\/strong><\/p>\n<p>The article deals with overview, assessment, and generalization of medical innovations in the area of prosthetic care and rehabilitation of the wounded that were established during the first decade (2014-2024) of the modern War of Independence of Ukraine. Complexity of humanitarian, social, economic and scientific significance of activity in the aforementioned area is disclosed. Growing number of battle injuries of limbs that lead to amputations with further disablement during the Russian aggression is emphasized. The scale of the problem establishes the primary objective of limb prosthetics using innovative methods before the Ukrainian society. Ukrainian health worker, scientists of various knowledge branches, military people, inventors, volunteers and enterprises actively participate in creation of state-of-the-art research and development products from various sides. Ukrainian bionic prosthetics are an interesting and absolutely necessary innovation. They are manufactured using 3D scanning, on the basis of which individual attachments and then prostheses themselves are created. The whole manufacturing process (from measurement to installation) takes place in Ukraine. Since 2023, such prostheses have been provided to Ukrainian warriors and civilians wounded during the military aggression of Russia against Ukraine for free. The Ukrainian bionic arm prosthesis has been included in the 2022 Best Inventions rating of TIME (the American magazine). The up-to-date prosthetic care methodic, namely osteointegration, is used for bionic prostheses more and more often. The second innovative group of prostheses is myoelectric ones. They are made of acrylic resin, which has good ductile properties, individually according to users\u2019 parameters. Free ocular prosthetics is provided to the warriors in Kharkiv Regional Hospital. And the surgeons of the military hospital in Kharkiv were the first in Ukraine to conduct unique face prosthetic surgeries using titanium plates. The main problems in the area of prosthetic care and rehabilitation of the wounded currently are the following: lack of financing and qualified personnel, heavy bureaucracy system and insufficient number of service centers.<\/p>\n<p><strong>Key words:<\/strong> bionic prostheses, electric engineering, innovations, history of science and technology, myoelectric prostheses, osteointegration, face prosthetics, ocular prosthetics, socialization of the wounded, War of Independence of Ukraine<\/p>\n<p><strong>https:\/\/doi.org\/10.15407\/internalmed2025.02.086<\/strong><\/p>\n<p><a href=\"http:\/\/www.internalmed-journal.in.ua\/wp-content\/uploads\/2025\/11\/\u0421\u041c_2_2025_25_10_2025-86-92.pdf\"><strong>Download.PDF(ukr)<\/strong><\/a><\/p>\n<p><strong>References:<\/strong><\/p>\n<p>1. Demochko HL, Robak IYu. Vplyv pershoho desiatylittia suchasnoi rosiisko-ukrainskoi viiny na innovatsii v praktyku taktychnoi medytsyny (pohliad z ukrainskoho boku) \\[The influence of the first decade of the modern Russian-Ukrainian war on innovations in the practice of tactical medicine (a view from the Ukrainian side)\\]. In: Russia-Ukraine War: Consequences for the World: Proceedings of the 5th International Scientific and Practical Internet Conference. Dnipro; 2025. p. 72\u20133. (Ukrainian).<br \/>\n2. Demochko HL, Robak IYu. Medychni innovatsii v chasy viiskovykh konfliktiv: svitovyi dosvid ta vyklyky dlia Ukrainy \\[Medical innovations during military conflicts: world experience and challenges for Ukraine\\]. Avtomatyzatsiia, elektronika, informatsiino-vymiriuvalni tekhnolohii: osvita, nauka, praktyka \\[Internet\\]. Available from: https:\/\/repository.kpi.kharkov.ua\/handle\/KhPI-Press\/84178. (Ukrainian).<br \/>\n3. Robak IYu, Demochko HL. Znyzhennia rivnia krovovtrat zakhysnykiv Ukrainy cherez medychni innovatsii v pershi roky rosiiskoi ahresii (dohospitalnyi etap) \\[Reduction of blood loss in Ukrainian defenders through medical innovations in the first years of Russian aggression (prehospital stage)\\]. Skhidnoievropeiskyi zhurnal vnutrishnoi ta simeinoi medytsyny \\[Internet\\]. 2025;(1). Available from: http:\/\/www.internalmed-journal.in.ua\/archives\/4378. (Ukrainian).<br \/>\n4. Robak IYu, Demochko HL. Naukovo-tekhnichnyi postup ukrainskoi taktychnoi medytsyny: vid volovykh noshiv do evakuatsiinykh robotyzovanykh kompleksiv \\[Scientific and technical progress of Ukrainian tactical medicine: from ox stretchers to evacuation robotic complexes\\]. In: Informatsiini tekhnolohii: nauka, tekhnika, tekhnolohiia, osvita, zdorovia: tezy dopovidei XXXIII mizhnarodnoi naukovo-praktychnoi konferentsii MicroCAD-2025 (m. Kharkiv, 14\u201317 travnia 2025 roku). Kharkiv; 2025. p. 1270\u20131. (Ukrainian).<br \/>\n5. Robak IYu, Demochko HL. Vynakhidnytstvo na sluzhbi vitchyznianoi viiskovoi medytsyny v pershe desiatylittia suchasnoi rosiisko-ukrainskoi viiny: istoriia rozrobok i vprovadzhen na dohospitalnomu etapi \\[Inventing in the service of domestic military medicine in the first decade of the modern Russian-Ukrainian war: history of developments and implementations at the prehospital stage\\]. Vcheni zapysky TNU imeni VI Vernadskoho. Seriia: Istorychni nauky. 2025;36(1):128\u201335. (Ukrainian). https:\/\/doi.org\/10.32782\/2663-5984.2025\/1.19<br \/>\n6. Demochko HL, Robak IYu. Medychni innovatsii na sluzhbi sotsializatsii poranenykh suchasnii rosiisko-ukrainskii viini \\[Medical innovations in the service of socialization of the wounded in the modern Russian-Ukrainian war\\]. In: Aktualni problemy sotsialnoho rozvytku v suspilstvi zmin: Materialy III Mizhnarodnoi naukovo-praktychnoi konferentsii (prysviachena 140-richchiu NTU \u00abKhPI\u00bb ta 25 richchiu kafedry pedahohiky ta psykholohii upravlinnia sotsialnymy systemamy NTU \u00abKhPI\u00bb imeni akademika IA Ziazyna) (m. Kharkiv, 27\u201329 bereznia 2025 roku) \\[Internet\\]. Kharkiv; 2025. p. 79\u201381. Available from: https:\/\/repository.kpi.kharkov.ua\/handle\/KhPI-Press\/88216. (Ukrainian).<br \/>\n7. Burianov OA, Yarmoliuk YuO, Bespalenko AA, Vakulych MV. Khirurhichna taktyka likuvannia postrazhdalykh z amputatsiiamy pry boiovykh urazhenniakh nyzhnikh kintsivok v suchasnykh boiovykh konfliktakh \\[Surgical tactics for the treatment of victims with amputations in combat injuries of the lower extremities in modern military conflicts\\]. Problemy viiskovoi okhorony zdorovia: zb. naukovykh prats Ukrainskoi viiskovo-medychnoi akademii. 2016;1:182\u20139. (Ukrainian).<br \/>\n8. Pro reabilitatsiiu osib z invalidnistiu v Ukraini: Zakon Ukrainy vid 19.12.2017 r. \u2116 2249-VIII stanom na 01.01.2024 r. \\[On the rehabilitation of persons with disabilities in Ukraine: Law of Ukraine of 19.12.2017 No. 2249-VIII as of 01.01.2024\\] \\[Internet\\]. Available from: https:\/\/zakon.rada.gov.ua\/laws\/show\/2961-15#top. (Ukrainian).<br \/>\n9. Khomenko IP. Klinichno-epidemilohichnyi analiz struktury boiovoi khirurhichnoi travmy pry provedenni antyterorystychnoi operatsii \/ operatsii Obiednanykh syl na skhodi Ukrainy \\[Clinical and epidemiological analysis of the structure of combat surgical trauma during the anti-terrorist operation \/ Joint Forces operation in eastern Ukraine\\]. Ukrainskyi zhurnal viiskovoi medytsyny. 2021;2(2):5\u201313. (Ukrainian). https:\/\/doi.org\/10.46847\/ujmm.2021.2(2)-005<br \/>\n10. Shaprynskyi YeV, Lypkan VM. Likuvannia khvorykh z vohneopalnymy travmatychnymy amputatsiiamy nyzhnikh kintsivok pry vybukhovii travmi v umovakh suchasnoi viiny v Ukraini \\[Treatment of patients with gunshot traumatic amputations of the lower extremities in explosive trauma in the conditions of modern war in Ukraine\\]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2023;27(4):584. (Ukrainian). https:\/\/doi.org\/10.31393\/reports-vnmedical-2023-27(4)-08<br \/>\n11. Shvets AV. Prohnostychna otsinka potreby u medychnii reabilitatsii viiskovosluzhbovtsiv Zbroinykh Syl Ukrainy na osnovi danykh struktury ikh boiovoi travmy \\[Prognostic assessment of the need for medical rehabilitation of servicemen of the Armed Forces of Ukraine based on data on the structure of their combat trauma\\]. Ukrainskyi zhurnal viiskovoi medytsyny. 2022;3(3):112. (Ukrainian).<br \/>\n12. Innovatsiini ukrainski bionichni protezy \\[Innovative Ukrainian bionic prostheses\\] \\[Internet\\]. Available from: https:\/\/www.allbionics.ai\/ua\/. (Ukrainian).<br \/>\n13. \u00abApheid\u00bb tila. Yak suchasni tekhnolohii dopomahaiut ukrainskym viiskovym vidnovliuvatysia \\[&#8220;Upgrade&#8221; of the body. How modern technologies help Ukrainian soldiers recover\\] \\[Internet\\]. Available from: https:\/\/www.epravda.com.ua\/publications\/2023\/03\/2\/697597\/. (Ukrainian).<br \/>\n14. Nezlamni \\[Unbroken\\] \\[Internet\\]. Available from: https:\/\/unbroken.org.ua\/ua. (Ukrainian).<br \/>\n15. V Ukraini viiskovykh protezuvatimut po-novomu: chomu tse vazhlyvo \\[In Ukraine, servicemen will be fitted with prostheses in a new way: why it is important\\] \\[Internet\\]. Available from: https:\/\/tsn.ua\/exclusive\/v-ukrayini-viyskovih-protezuvatimut-po-novomu-chomu-ce-vazhlivo-2778969.html. (Ukrainian).<br \/>\n16. Esper Bionics \\[Internet\\]. Available from: https:\/\/esperbionics.com\/.<br \/>\n17. Yak u Kharkovi stvoriuiut ta vstanovliuiut protezy ochei dlia viiskovykh i tsyvilnykh \\[How prostheses for eyes for military and civilians are created and installed in Kharkiv\\] \\[Internet\\]. Available from: https:\/\/suspilne.media\/kharkiv\/969737-ak-u-harkovi-stvoruut-ta-vstanovluut-protezi-ocej-dla-vijskovih-i-civilnih\/. (Ukrainian).<br \/>\n18. U viiskovomu shpytali Kharkova pochaly provodyty operatsii z protezuvannia oblychchia \\[Operations for facial prosthetics began in the military hospital of Kharkiv\\] \\[Internet\\]. Available from: https:\/\/suspilne.media\/kharkiv\/960061-u-vijskovomu-spitali-harkova-pocali-provoditi-operacii-z-protezuvanna-oblicca\/. (Ukrainian).<br \/>\n19. Uriad rozshyryv mozhlyvosti dlia viiskovykh otrymaty vysokofunktsionalni protezy \\[The government expanded opportunities for servicemen to receive high-functional prostheses\\] \\[Internet\\]. Available from: https:\/\/www.ukrinform.ua\/rubric-society\/3942728-urad-rozsiriv-mozlivosti-dla-vijskovih-otrimati-visokofunkcionalni-protezi.html. (Ukrainian).<br \/>\n20. Lyshe 10% z miliarda. Chomu v Ukraini ne vykorystaly hroshi, vydileni na bionichni protezy dlia viiskovykh \\[Only 10% of a billion. Why Ukraine did not use the money allocated for bionic prostheses for the military\\] \\[Internet\\]. Available from: https:\/\/life.pravda.com.ua\/health\/chomu-v-ukrajini-vinik-velikiy-zalishok-groshey-vidilenih-na-protezuvannya-viyskovih-305564\/. (Ukrainian).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prof. I. Robak1, assoc. prof. H. Demochko2 1National Technical University \u00abKharkiv Polytechnic Institute\u00bb 2Kharkiv National Medical University The article deals with overview, assessment, and generalization of medical innovations in the area of prosthetic care and rehabilitation of the wounded that were established during the first decade (2014-2024) of the modern War of Independence of Ukraine&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,134],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":false,"content":false,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4556"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=4556"}],"version-history":[{"count":6,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4556\/revisions"}],"predecessor-version":[{"id":4686,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4556\/revisions\/4686"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=4556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=4556"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=4556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}