Everything you need to know about bionic legs, knees, ankles, and feet. Continuously updated, this page is intended as your one-stop repository for all the latest information on lower-limb devices, technologies, and research.
Updated: January 04, 2021
What’s On This Page?
- What is a Bionic Leg?
- Understanding the Technical Challenges for Bionic Legs
- Current Bionic Ankles & Feet
- Current Bionic Knees
- Current Full Bionic Legs
- Open Source Bionic Legs & Feet
- Latest Research Articles
- Bionic Feats
- Real Stories
- Related Information
What is a Bionic Leg?
A bionic leg is an electromechanical device that attaches to the human body and replicates the functionality of a natural leg.
It always consists of sensors, a microprocessor ankle, a foot component, and at least one battery. Depending on the level of amputation, it may also include a microprocessor knee.
For example, here are a pair of diagrams for Blatchford’s Linx bionic leg, which has all of these components.
Understanding the Technical Challenges for Bionic Legs
The Basic Mechanics of Walking
When humans walk, each leg alternates between a Stance phase (the foot has contact with the ground) and a Swing phase (the foot is off the ground). These phases can be divided into sub-phases:
During this gait cycle, the body employs a number of biomechanical functions including:
- shock absorption by muscles, tendons, ligaments, and cartilage from the moment of Heel Strike until the full body weight is assumed by the Stance leg;
- antagonistic muscle pairs to move the foot, ankle, knee, and hip into desired positions;
- the use of elastic energy as tendons and muscles stretch during the first half of the Stance phase, then recoil to help begin the Swing Phase;
- muscle contraction to lift each leg and propel the body forward.
Most of these functions have mechanical equivalents such as dampers, springs, actuators, etc. The challenge is controlling and coordinating them in a smooth, integrated manner.
Bionic Leg Control Systems
When we humans approach an obstacle like stairs, we glance at them to gauge their height, steepness, tread width, etc. To climb the stairs with natural legs, we automatically adjust our stride, foot placement, joint angles, and muscle power. This is possible because of our brain’s ability to:
- perceive a 3D map of its surroundings including the terrain;
- use proprioception to maintain a keen sense of our body’s position within that 3D map;
- precisely adjust and control the movements of hundreds of muscles.
The bionic legs and feet currently on the market do not attempt to replicate this sophisticated system (though the new Agonist-antagonist Myoneural Interface (AMI) technology promises to change this). Instead, they use sensors to detect things like walking speed, joint angles, etc. Microprocessors then use this data to automatically adjust things like joint resistance, sometimes hundreds of times per second.
These systems are localized, reactive, and completely independent from the human brain. Yet, they have proven to be remarkably successful, as shown in this short video of a double amputee walking and running up a set of stairs:
Still, users want more. They want improved user control over their bionic limbs, sensory feedback, and even power-assisted propulsion.
To learn the status of these objectives, please see our full article on control systems for bionic legs and feet.
Current Bionic Ankles/Feet
Bionic ankles/feet are responsible for the following tasks:
- automatically adjusting the resistance in the ankle to ensure the proper level of support through each stage of the Stance Phase regardless of terrain;
- keeping the foot “toes” up during the Swing Phase to create more clearance and reduce the risk of tripping;
- some bionic ankles also actively manage the ankle rotation (i.e. foot angle) based on terrain, and one (the Empower Ankle) provides added propulsive power.
The main bionic ankles/feet currently on the market are:
- Elan from Blatchford
- Elan IC from Blatchford
- Empower from Ottobock
- Kinnex from Freedom Innovations
- Meridium from Ottobock
- Proprio from Ossur
- Raize from Fillauer
This promotional video from Blatchford provides an excellent technical description of the end-user benefits from such devices, starting at 1:10:
Unfortunately, it is difficult to find independent, first-hand consumer reviews of bionic ankles/feet. Most material on the subject is still either promotional or scientific.
Until that situation changes, we’ll settle for showing the latest advances such as this bionic ankle/foot for more active amputees:
Bionic Ankles/Feet Affordability
Based mainly on user feedback, most bionic ankles/feet sell for between $18,000 to $25,000 US. This makes sense given that the Medicare/Medicaid reimbursement rates are around $18,000 US for this type of device.
The most expensive bionic ankle/foot is Ottobock’s Empower Ankle, which sells for between $40,000 to $50,000 US. That’s quite a leap in price, but if you watch our videos on the Empower, it’s also quite a leap in technology.
For more information, see our Bionic Foot Price List.
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Current Bionic Knees
Bionic knees are responsible for the following tasks:
- automatically adjusting the resistance in the knee to ensure the proper level of support through each stage of the Stance Phase regardless of terrain;
- ensuring the optimal release point for the knee to begin the Swing Phase and also the proper foot clearance during this phase, especially when ascending stairs, ramps, etc.;
- assisting in stumble recovery.
The main bionic knees currently on the market are:
- Allux from Nabtesco/Proteor
- C-Leg from Ottobock
- Genium from Ottobock
- Genium X3 from Ottobock
- Kenevo from Ottobock
- Orion from Blatchford
- Plie from Freedom Innovations
- Power Knee from Ossur
- Rheo from Ossur
- Rheo XC from Ossur
Again, it is difficult to find independent, first-hand consumer reviews of bionic knees. But this video of a young man using one of the most advanced knees — Ottobock’s Genium X3 — at least provides a glimpse of their potential:
Paired with the correct prosthetic foot, there are obviously few limits on the use of this knee. So, with a knee like this, why would someone need a bionic ankle? First, using the knee alone is more tiring without the assistance of a bionic ankle. It also isn’t as smooth when walking up or down stairs or other inclines.
This of course leads to the question: what happens when you combine these two technologies? We answer this question in the next main section.
Bionic Knees Affordability
Based mainly on user feedback, most bionic knees sell for between $25,000 to $50,000 US.
The most expensive bionic knee is Ottobock’s Genium X3, which can cost more than $100,000 US depending on the prosthetic foot that is paired with it, warranty extensions, etc.
For more information, see our Bionic Knee Price List.
Current Full Bionic Legs
There is only one bionic leg we know about that fully integrates a bionic knee and ankle. This is Blatchford’s Linx:
It is inspiring to see amputees being so physically active. It’s proof that, technically, we are getting close to eliminating lower-limb disabilities.
The problem is one of availability. This is limited not only by price but also by insurance policies.
For example, Ossur combined its Rheo bionic knee with its Proprio bionic ankle to create a Symbionic leg product but the resulting product had poor sales. Why? Because public and private medical insurance resisted paying for it.
Bionic Leg Affordability
The Linx sells for between $60,000 and $70,000 including the socket and all prosthetist fees.
Open-Source Bionic Legs & Feet
For decades now, the open-source approach has flourished in the software industry. It works by allowing the entire user community to contribute to software solutions. It speeds up innovation, reduces costs, and fosters standardization. Just on the issue of standardization alone, this makes software more modular and easier to reuse.
Now compare this to the world of bionic legs & feet. Even though the tasks faced by one bionic limb manufacturer are quite similar to those faced by another, many take a proprietary approach. This has the unfortunate effect of slowing progress and making end products more expensive.
The objectives for this program are not yet as far-reaching as a typical open software initiative, as it is focused more on standardizing aspects of the R & D process. But the benefits of this approach will ultimately trickle down into the commercial market.
Latest Research Articles for Bionic Legs / Feet
A study to capture the experiences and perception of prosthetic leg users — part of a broader project to develop prosthetic sockets that can detect and communicate important sensations to end-users.
Bionic Feats for Bionic Legs & Feet
As lower-limb bionic technologies improve, users naturally want to venture beyond “safe” surfaces and go wherever they want. This requires the same kind of adaptability offered by natural legs/feet. Fortunately, bionic scientists and engineers seem to be up to the…
Real Stories for Bionic Legs & Feet
The innovators featured in this post are all accomplished scientists, engineers, and/or inventors. They have all made significant contributions to the advancement of bionic limbs. But what makes them truly special is their passion to improve the lives of those…
Bionic legs can attach directly to the femur (upper leg bone) or tibia (main lower leg bone) through Osseointegration. This improves range of motion, strength, stability, and also adds a rudimentary sense of touch (through vibration). For more information, see Osseointegration for Bionic Limbs.