I think that 50 years is overkill. Over 30 years ago, I began designing prosthetics. That was before I specialized in prosthetic FX makeup. At the time, the state-of-the-art was the "British Hand" that was regulated by a couple of Schmidt triggers governed by force clamps and velocity clamps. Official state-of-the-art, that is.
Regardless, the things that are being done now, with modern electronics and computer technology, are incredible. I just saw on the news, last week, a paraplegic man walk due to computer-controlled spinal implants. A year ago, that would have been considered ridiculous fiction.
Dr. Hawking has communicated for over 3 decades longer than he was expected to live, because technology gave him a voice. (I don't know why he's still alive, but the computer is what allows him to communicate expediently.) I don't care whether it's mutation or technology that keeps him alive, or just pure stubbornness; a brain like that is part of a formidable arsenal. The other parts are that he can negotiate peace or design weapons that would make Caligula whimper.
Communication is what makes civilization possible. However that is accomplished, it is of extreme importance for the continuation of our species.