2 reasons; first, motors and drive electronics are both heat producing systems. In order to combine them you have to derate the assembly to prevent damage, and second, motors are designed by mechanical engineers, motor drive circuits are designed by electronics engineers. The two disciplines and attending manufacturing processes are completely different.
Chuck, A primary reason to separate motors and drives in the past has been packaging the two together, and especially the ability of the drive to handle heat. There is significant technology involved in mounting the drive to the top of the motor, but it is still an issue as motor/drive combos go up in torque (with resulting increases in heat).
Prosthetic limbs and other artificial body parts have come a long way in the last 10 to 20 years, and many on the market and under development today can restore nearly the same functions as the human body parts they’re replacing, or even improve them.