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骨科植入物和骨骼形态在人类遗骸鉴定中的作用。

Role of orthopedic implants and bone morphology in the identification of human remains.

作者信息

Simpson Ellie K, James Ross A, Eitzen David A, Byard Roger W

机构信息

Forensic Science South Australia, 21 Divett Place, Adelaide, SA 5000, Australia.

出版信息

J Forensic Sci. 2007 Mar;52(2):442-8. doi: 10.1111/j.1556-4029.2006.00370.x.

DOI:10.1111/j.1556-4029.2006.00370.x
PMID:17316248
Abstract

When conventional methods of identification, such as visual recognition and dental comparison, cannot be used to identify a deceased person, it becomes necessary to consider alternative methods. The presence of an orthopedic implant in a body may assist identification if ante-mortem medical records are available for comparison. Another method of identification involves comparison of ante-mortem and postmortem radiographs. Eight cases are reported from Forensic Science SA where the presence of orthopedic implants and/or ante-mortem radiographs were used to try to establish identification. In six cases, positive identification was established, and in two cases with upper limb orthopedic implants, the bones remained unidentified. Manufacturers were unable to provide any information about the distribution and use of the implants that could be of use with identification, as there are no requirements in Australia for individual medical implants to be tracked. Such a system has the potential to aid postmortem identification if serial codes were etched onto implants that could then be traced to manufacturers, surgeons, and recipients of these devices.

摘要

当无法使用常规识别方法(如视觉识别和牙齿比对)来识别死者身份时,就有必要考虑其他方法。如果有生前医疗记录可供比对,尸体中存在的骨科植入物可能有助于身份识别。另一种识别方法是对比生前和死后的X光片。南澳大利亚法医科学局报告了8起案件,其中利用骨科植入物的存在和/或生前X光片来尝试确定身份。在6起案件中成功进行了身份确认,在2起上肢骨科植入物的案件中,骨骼身份仍未确定。制造商无法提供任何与识别有用的关于植入物分布和使用的信息,因为澳大利亚没有要求对单个医疗植入物进行追踪。如果将序列号蚀刻在植入物上,然后可以追溯到这些设备的制造商、外科医生和接受者,这样的系统有可能帮助进行死后身份识别。

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