Orthop?disch-Unfallchirurgische Implantate

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• 作者：Dr. J. Manhart ; A. Dietze ; A. Büttner
• 关键词：Identifizierung ; Osteosynthese ; Frakturversorgung ; Tibianagel ; Medizinproduktegesetz ; Forensic anthropology ; Osteosynthsis ; Bone nails ; Medical Devices Act ; Bone fractures
• 刊名：Der Unfallchirurg
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：118
• 期：1
• 页码：83-87
• 全文大小：569 KB
• 参考文献：1. Krettek C, Mommsen P (2012) Implantatentfernung nach intramedull?ren Osteosynthesen. Unfallchirurg 115:299-14 CrossRef
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  4. Europ?isches Parlament (2007) Richtlinie 2007/47/EG des Europ?ischen Parlaments und des Rates vom 05. September 2007. http://eur-lex.europa.eu. Zugegriffen: 08. Jan. 2013
  5. Transplantationsgesetz (2007) BGBI. I S 2206. http://www.gesetze-im-internet.de/tpg/__13.html. Zugegriffen: 08. Jan. 13
  6. Klein S (2005) Historie, Struktur und Aufbau der Identifizierungskommission des Bundeskriminalamtes. Rechtsmedizin 15:460-66 CrossRef
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  12. Simpson EK, Ross AJ, David AE, Byard RW (2007) Role of orthopaedic implants and bone morphology in the identification of human remains. J Forensic Sci 52(2):442-48 j.1556-4029.2006.00370.x" target="_blank" title="It opens in new window">CrossRef
  13. Haugen GM (2008) Identification by the numbers: a case study in skeletal trauma examination and surgical implant tracking. Proceedings of the 60th Annual Meeting of the American Academy of Forensic Sciences. 304-05
  14. Ubelaker DH, Jacobs CH (1995) Identification of orthopaedic device manufacturer. J Forensic Sci 40(2):168-70
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Traumatic Surgery
  Medicine/Public Health, general
  Sports Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-044X

文摘

Internal fracture fixation represents a widespread concept for the treatment of fractures. As the number of implants increases, person tracking may be possible. In spring 2010 near Rostock (Germany), human remains including a stainless steel nail were found. Forensic analysis considered the parts of skeleton to belong to a man of medium height, exposed to outdoor conditions for several years to a few decades. The tibial nail was analysed and according to the product identification number possible hospitals of implant placement and transportation paths were determined and screened. Furthermore a match analysis of the database of missing individuals of the last 15 years was undertaken and a DNA match analysis identified a local individual who had been missing since winter 2003. Equipped with the actual patient’s identity, out of academic interest a survey of clinical documents such as discharge letters and operative reports was performed, but was inconclusive. Although technically feasible, tracking the patient in this case based on the implant product number itself was unsuccessful. In this case report, the feasibility, validity and efficiency of this option are presented and discussed.