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骨科手术器械在法医学鉴定中的应用:系统评价。

The use of orthopedic surgical devices for forensic identification: A systematic review.

机构信息

College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia..

College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. .

出版信息

Acta Biomed. 2022 Jul 1;93(3):e2022082. doi: 10.23750/abm.v93i3.12471.

DOI:10.23750/abm.v93i3.12471
PMID:35775772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9335431/
Abstract

BACKGROUND AND AIM

Identification of human bodies is a necessary step in forensic practice. DNA analysis, fingerprints, and dental charting are considered conventional identification methods. However, these methods are not always applicable. Orthopedic surgical implantable devices provide valuable identity information when conventional methods of identification are not applicable or in challenging circumstances. This paper aims to review the usage of orthopedic implantable devices for forensic human identification.

METHODS

A search for relevant articles using the PubMed database in January 2021 identified 8 articles that met the inclusion criteria.  Results: These articles highlighted the importance of the use of orthopedic implantable devices as an additional method for positive identification, especially in disaster situations. It is a method that needs antemortem and postmortem radiographs, comprehensive information of the orthopedic implantable device like company and serial number, logo, name, medical records of previous surgical intervention, and for the family member's history to match with the identification details.

CONCLUSIONS

Efforts should be made to include all information pertaining to orthopedic implantable devices in the medical records. Educating and training forensic experts on the use of such devices in the identification process is essential, as this technique is practical, low-cost, and time-saving.

摘要

背景与目的

在法医学实践中,识别人体是必要的步骤。DNA 分析、指纹和牙齿图表被认为是常规的识别方法。然而,这些方法并不总是适用的。当常规识别方法不适用或在具有挑战性的情况下,骨科植入式医疗器械提供了有价值的身份信息。本文旨在回顾骨科植入式设备在法医人类识别中的应用。

方法

2021 年 1 月,使用 PubMed 数据库搜索相关文章,确定了 8 篇符合纳入标准的文章。结果:这些文章强调了使用骨科植入式设备作为一种额外的阳性识别方法的重要性,尤其是在灾难情况下。这是一种需要生前和死后 X 光片、骨科植入物的全面信息(如公司和序列号、徽标、名称、以前手术干预的医疗记录)以及与识别细节相匹配的家庭成员病史的方法。

结论

应努力将所有与骨科植入物相关的信息包含在医疗记录中。对法医专家进行有关如何在识别过程中使用此类设备的教育和培训至关重要,因为该技术实用、低成本且节省时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b246/9335431/cb42df56b5e8/ACTA-93-82-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b246/9335431/cb42df56b5e8/ACTA-93-82-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b246/9335431/cb42df56b5e8/ACTA-93-82-g001.jpg

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本文引用的文献

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Identification of skeletal remains by orthopaedic implant: A case report and brief review of the literature.通过骨科植入物鉴定骨骼遗骸:病例报告并文献复习。
Med Sci Law. 2021 Apr;61(2):150-154. doi: 10.1177/0025802420975304. Epub 2020 Dec 15.
2
Disaster victim identification operations with fragmented, burnt, or commingled remains: experience-based recommendations.针对遗体支离破碎、烧焦或混合在一起的灾难遇难者身份识别行动:基于经验的建议。
Forensic Sci Res. 2020 May 26;5(3):191-201. doi: 10.1080/20961790.2020.1751385.
3
Identification of Bodies by Unique Serial Numbers on Implanted Medical Devices.
通过植入式医疗设备上的唯一序列号识别尸体。
J Forensic Sci. 2018 May;63(3):740-744. doi: 10.1111/1556-4029.13598. Epub 2017 Jul 18.
4
Disaster Victim Identification using Orthopedic Implants in the 2011 East-Japan Earthquake and Tsunami.2011年东日本地震及海啸中利用骨科植入物进行灾难遇难者身份识别
Tohoku J Exp Med. 2017 Mar;241(3):219-223. doi: 10.1620/tjem.241.219.
5
Forensic identification using multiple lot numbers of an implanted device.使用植入式设备的多个批次号进行法医鉴定。
Med Sci Law. 2014 Jan;54(1):51-3. doi: 10.1177/0025802413498860. Epub 2013 Sep 19.
6
Positive identification of a burned body using an implanted orthopedic plate.利用植入的骨科板对烧伤尸体进行身份确认。
Forensic Sci Int. 2013 Jun 10;229(1-3):168.e1-5. doi: 10.1016/j.forsciint.2013.04.001. Epub 2013 May 1.
7
Forensic radiology and personal identification of unidentified bodies: a review.法医放射学与无名尸体的个人识别:综述
Radiol Med. 2011 Sep;116(6):960-8. doi: 10.1007/s11547-011-0677-6. Epub 2011 Apr 19.
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10
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