forensic identification, orthopedic implanted device, disaster victim identification, postmortem radiograph
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.
2. Ciaffi R, Gibelli D, Cattaneo C. Forensic radiology and personal identification of unidentified bodies: a review. Radiol Med 2011; 116: 960–8.
3. De Boer HH, Roberts J, Delabarde T, Mundorff AZ, Blau S. Disaster victim identification operations with fragmented, burnt, or commingled remains: experience-based recommendations. Forensic Sci Res 2020; 5:191–201.
4. Christopher WS, Steven AS. Analysis of human remains. In: John JS, Michael WW, John SK, 2nd eds. The Analysis of Burned Human Remains. Elsevier Inc; 2015: 83-103.
5. Takeshita H, Nagai T, Sagi M, et al. Forensic identification using multiple lot numbers of an implanted device. Med Sci Law 2014; 54: 51–3.
6. Wilson RJ, Bethard JD, DiGangi EA. The use of orthopedic surgical devices for forensic identification. J Forensic Sci 2011; 56: 460–9.
7. Matoso RI, Benedicto ED, de Lima SH, Prado FB, Daruge E, Junior ED. Positive identification of a burned body using an implanted orthopedic plate. Forensic Sci Int 2013; 229: 168.e1–5.
8. Khartade HK, Meshram V, Garg SP, Mishra DK. Identification of skeletal remains by orthopaedic implant: a case report and brief review of the literature. Med Sci Law 2021; 61: 150–4.
9. Simpson EK, James RA, Eitzen DA, Byard RW. Role of orthopedic implants and bone morphology in the identification of human remains. J Forensic Sci 2007; 52: 442–8.
10. Blessing MM, Lin PT. Identification of bodies by unique serial numbers on implanted medical devices. J Forensic Sci 2018; 63: 740–44.
11. Bennett JL, Benedix DC. Positive identification of cremains recovered from an automobile based on presence of an internal fixation device. J Forensic Sci 1999; 44: 1296–8.
12. Bassed R. Identification of severely incinerated human remains: the need for a cooperative approach between forensic specialities - a case report. Med Sci Law 2003; 43:356–61.
13. Numata N, Makinae H, Yoshida W, Daimon M, Murakami H. Disaster victim identification using orthopedic implants in the 2011 East-Japan earthquake and tsunami. Tohoku J Exp Med 2017; 241: 219–23