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A32    FEATURE
                  Thursday 12 april 2018
             5 years on, marathon bomb survivors inspire medical advances



            By PHILIP MARCELO                                                                      then  develop  technology  soon.
            BOSTON (AP) — In the five                                                              that will translate brain sig-  The  39-year-old  from  the
            years since the Boston Mar-                                                            nals  into  movement  of  an  Boston area lost his right leg
            athon  bombing,  medical                                                               artificial   leg.   Amputees  in  the  blast,  and  his  badly
            science  has  made  promis-                                                            might  one  day  even  be  maimed left leg causes him
            ing  advances  in  amputa-                                                             able to perceive sensations  unceasing  pain.  He  fears
            tions  and  artificial  limbs,                                                         through their prostheses.    another  amputation  might
            in  part  because  of  lessons                                                         "We're  systematically  re-  be his only option.
            learned  from  the  victims                                                            designing  the  body  along  The  artificial  limbs  that  Fu-
            and research dollars made                                                              with  synthetics  in  order  to  carile  and  other  survivors
            available as a result of the                                                           maximize  communication  were  fitted  with  generally
            attack.                                                                                between the body and the  last  five  to  seven  years,  so
            Some  of  the  17  people                                                              machine,"  said  Hugh  Herr,  the  patients  will  have  to
            who  lost  limbs  in  the  April                                                       co-director  of  the  Center  decide  on  the  right  tech-
            15,  2013,  bombing  could,                                                            for  Extreme  Bionics  at  MIT  nology  for  the  next  phase
            like many other amputees,    In this March 20, 2018, photo, Boston Marathon bombing survi-  and  a  partner  with  Carty  of  their  lives.  “Sometimes
            benefit  from  these  devel-  vor Marc Fucarile holds his thigh socket as he tests a variety of   on the project. "It's remark-  the  top-of-the-line  Porsche
            opments,  since  many  are   microprocessor-controlled prosthetic knees, during a visit to the   ably exciting."    isn’t always practical,” said
                                         Medical Center Orthotics and Prosthetics in the Allston neigh-
            coming  to  a  crossroads  in   borhood of Boston.                                     While the fruits of that work  Paolo  Bonato,  who  over-
            their  treatment.  A  number                                          Associated Press  may be years in the future,  sees  research  on  artificial
            still struggle with pain, and                                                          marathon  survivors  might  limbs  at  Spaulding  Reha-
            others  may  be  looking  to  for the next one."          me  was  the  need  to  im-  also benefit from other en-  bilitation Hospital in Boston,
            replace  their  prostheses,  Among other places where  prove  amputations,"  said  couraging developments.          where many of the victims
            which  are  approaching  research  is  taking  place  is  Dr.   Matthew    Carty,   a  One procedure involves di-   were treated. “It might be
            the end of their useful life.  Boston,  where  doctors  are  Brigham  &  Women's  sur-  rectly  connecting  artificial  more  sensible  to  have  a
                                                                                                   limbs  to  bones  using  tita-  Honda.” Rarely seen on ci-
                                                                                                   nium implants. These bone-   vilians  five  years  ago,  the
                                                                                                   anchored prostheses have  prosthetic  devices  used
                                                                                                   been placed on hundreds  by many survivors have mi-
                                                                                                   of  patients  in  other  coun-  croprocessors  and  sensors
                                                                                                   tries, but it wasn't until 2015  that  automatically  adjust
                                                                                                   that the use of the devices  the limb and allow for more
                                                                                                   was allowed in the U.S.      natural  movements.  They
                                                                                                   Roughly  50  such  opera-    are  now  more  common,
                                                                                                   tions  have  been  done  in  but  they  can  cost  any-
                                                                                                   this country, including 16 at  where  from  about  $15,000
                                                                                                   Walter Reed, according to  to  more  than  $100,000,
                                                                                                   Potter.                      said  Spaulding’s  Dr.  David
                                                                                                   Brigham & Women's is also  Crandell.  For  some  ampu-
                                                                                                   among  the  U.S.  hospitals  tees,  insurance  often  isn’t
                                                                                                   seeking  to  do  the  nation's  enough to cover the costs.
                                                                                                   first  successful  leg  trans-  The Boston victims, though,
                                                                                                   plant . The surgical feat has  received  payouts  from  a
                                                                                                   been accomplished in only  compensation  fund,  and
            In this March 2, 2018, photo, Boston Marathon bombing survivor Marc Fucarile heads down the   a  few  countries,  including  some have launched fund-
            North Peak on a mono-ski during "Camp sNOw Limits", an outing for 23 amputee athletes, at the   Spain and Canada.   raising efforts or found oth-
            Sunday River ski resort in Newry, Maine.                                               Bombing  survivor  Marc  Fu-  er ways to cover their costly
                                                                                  Associated Press  carile, who was the last to  devices.  Fucarile,  whose
                                                                                                   be  released  from  the  hos-  carbon  fiber  and  titanium
                                                                                                   pital, said he is intrigued by  leg was initially developed
            "The  collective  experience  working to combine an im-   geon  who  is  developing
            in the aftermath of the Bos-  proved  amputation  meth-   the new amputation tech-
            ton  Marathon  bombing  od with more sophisticated  nique. "We've made amaz-
            was  a  very  positive  one  in  artificial  limbs  so  that  am-  ing  advances  in  prosthet-
            the  medical  community  putees  can  one  day  use  ics technology — really by
            because there was a lot of  their  brains  to  control  their  leaps  and  bounds  —  but
            crosstalk  between  military  prostheses.                 the  way  we  do  amputa-
            and civilian surgeons," said  The  project  grew  out  of  tions  hasn't  kept  up  to
            Dr.  Benjamin  Potter,  chief  lessons  learned  by  Boston  speed with the capabilities
            of  orthopedics  at  Wal-    doctors  treating  victims  that exist now."
            ter  Reed  National  Military  of  the  marathon  attack.  It  The new lower-leg amputa-
            Medical  Center  in  Mary-   also was made possible by  tion  technique,  which  has
            land, where three survivors  $200,000  in  seed  funding  so far been done on seven
            were  treated  and  doctors  from the Gillian Reny Step-  people,  preserves  tendons
            are attempting some of the  ping Strong Center for Trau-  normally  severed  during    In this April 9, 2018, photo, Boston Marathon bombing survivor
            cutting-edge procedures.     ma Innovation , a founda-    an  amputation.  Tendons     Marc Fucarile cranks the handles on his racing handcycle while
            "That  exchange  and  that  tion launched by the family  connect  muscles  to  bone    training in Reading, Mass., for this year's Boston Marathon.
            dialogue  has  been  one  of a bombing survivor treat-    and are necessary to move                                             Associated Press
            of the silver linings to have  ed  at  Brigham  &  Women's  one's limbs.
            come  out  of  this,  in  that  Hospital.                 The  hope  is  that  research-  the new advances, even if  to  help  wounded  soldiers
            we're hopefully better edu-  "One  of  the  things  the  ers  at  the  Massachusetts  he isn't in a rush to go un-  return  to  battle,  said  his
            cated and better prepared  bombings  crystallized  for  Institute of Technology can  der the knife again anytime  prosthesis is no luxury.q
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