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Australian TV news airs Pistorius shooting 're-enactment'

By Reuters Staff

4 Min Read

PERTH/JOHANNESBURG (Reuters) - An Australian current affairs television program aired footage on Sunday of a re-enactment by Olympic and Paralympic star Oscar Pistorius of the shooting of his girlfriend, Reeva Steenkamp.

With Pistorius’ murder trial still underway in South Africa, the family lawyers of the accused athlete said the “visual mapping” re-enactment was for trial preparation only and they alleged it had been “obtained illegally” by Australia’s Channel 7, which ran the video on its Sunday Night program.

“For the family, the airing of this footage constitutes a staggering breach of trust and an invasion of the family’s privacy,” the Pistorius family lawyers, Brian Webber, Ram say Webber Inc., said in a statement. They said no permission for the disclosure of the material had been given.

Pistorius’ lawyers alleged the usage of the video filmed by a U.S. company specializing in forensic animation, The Evidence Room, which had been engaged by Pistorius’ defense team, also breached a non-disclosure agreement made with the Cleveland, Ohio company.

On Monday, Channel 7 declined to respond to questions from Reuters about how and from whom it had obtained the footage, but said the report was a “significant investigation” by award-winning journalists.

“We would not have run the footage if we thought we had obtained it illegally,” the network said in a statement emailed to Reuters. “The story was run in Australia only and not made available in any other territory.”

The Evidence Room did not reply to requests for comment.

One legal expert in Johannesburg, Professor Stephen Tuson of the Wits School of Law, said the screening of the re-enactment footage could be a breach of sub-judice laws that prohibit the publication outside the courtroom of evidence or material that could influence the outcome of the trial.

“If this was done in preparation for the trial in the context of attorney-client confidentiality, it would be privileged and its publication would be a breach of the sub-judice rule. Its consequences could be a reviewable irregularity,” Tuson said.

Channel 7’s Sunday Night program showed double-amputee Pistorius, without his prosthetic legs, recreating his movements in the St. Valentine’s Day incident last year.

At his murder trial, which opened in early March, Pistorius has said in his defense that he mistook Steenkamp for an intruder in the toilet of his Pretoria home and killed her accidentally.

In the Sunday Night footage of the re-enactment, which Channel 7 said had not been presented in court or in public, he is seen dressed in dark blue shorts and a blue singlet moving forward with his right arm extended as though pointing a gun.

The Channel 7 footage also shows Pistorius demonstrating how he found Steenkamp slumped over the toilet after the shooting. With Pistorius’ sister Aimee taking the place of Steenkamp in the re-enactment, the footage shows him dragging the body from the bathroom and carrying her down the stairs.

In another piece of footage, he is shown sitting on a dining room chair, putting on his prosthetics in 25.61 seconds.

Channel 7 said the re-enactment footage was shot at Pistorius’ uncle’s house, “some months” after the shooting.

The court heard last week that the athlete was not suffering from a mental condition when he shot Steenkamp, meaning he had the ability to distinguish between the rightful or wrongful nature of his actions.

Pistorius’ trial is due to resume on Monday.

Sours: https://www.reuters.com/article/csports-us-pistorius-australia-video-idCAKBN0FB0S620140707
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VA Hospital Provides Amputees With Prosthetics And Adaptive Sports

NEW YORK, NY - JANUARY 29: A computer animation of a U.S. military veteran and arm amputee is shown swinging a golf club at the Gait and Motion Analysis Lab at the Veterans Administration (VA), hospital on January 29, 2014 in Manhattan, New York City. At the laboratory patients are fitted with reflectors which are filmed by multiple cameras and later analyzed to help them improve mobility after losing limbs and help doctors there study the biomechanics of motion. (Photo by John Moore/Getty Images)

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Quad amputee animation

Limb Amputation

Limb Amputation: Understanding, Accepting and Living Fully

Overview

Our dog and cat friends & family are lucky; not only do they have us (!), they have four legs. These four legs gives them the edge when running fast; their four legs allow them to jump and climb better than us; and those four legs offer a surplus when medical conditions harm one of the legs. It is often hard for us humans to understand this benefit of four legs when it comes to losing one leg; when we lose a leg, it often means we must significantly adjust our lifestyle. And until and unless it happens to us or someone close to us, we will never fully appreciate the effect losing a limb will have. Similarly, until and unless we share time with a dog or cat who has lost a limb, we rarely appreciate how so very well they accommodate and adjust to three (or even two) legged status.

**I recently amputated my own dog’s front leg to treat bone cancer; living thru the recovery with her has added a personal perspective to my professional knowledge and experience. LMRasmussen, DVM, MS, DACVS 2012-13

Surgical Amputation “I don’t have a medical background; what happens during an amputation?”

The most common location for removing a damaged or diseased limb in dogs and cats is up high where the limb meets the body. This is so that any remaining portion of the leg does not become a problem for the pet. Any portion of a limb that remains may become traumatized during daily activities or interfere with movement.

For the front leg, the most successful and cosmetic amputation is by “scapular disarticulation”; this means that the entire limb is removed from the toes to the scapula (shoulder blade). Since the normal anatomy of the front leg only has muscles that attach the front leg to the chest wall, it is straightforward to remove the limb by cutting these muscles and sewing the area closed. This complete removal creates a smooth, well padded amputation site on the side of the chest that will not get pressure sores or interfere with movement in anyway.

For the rear leg, there are two techniques that are commonly used. The first is a “high femur” amputation that results in a short, well padded stump at the level of the rump/thigh. The muscles of the mid-thigh are cut and the femur (thigh bone) is cut close to the hip. When the tissues are sewn together, this provides good padding for the pelvis when the pet is lying down and offers a cosmetic appearance by maintaining symmetry of the rump area. The second technique is often used when the disease of the rearleg is in the thigh area; the leg is removed by “coxofemoral (hip) disarticulation”. This means that the leg is removed at the hip joint; only the pelvis and the surrounding muscles remain. This amputation technique is very successful as well, with slightly less padding over the amputation site and a less symmetrical appearance.

People are often interested in saving more of the leg if the injury or disease is low on the leg. This is not recommended in the majority of patients for the reasons mentioned above. But in cases where multiple legs are compromised and preserving leg function is preferred or required, there have been some successful cases of prosthetic limbs being created for and used by pets.

This field is not as well developed in animals as it is in humans; cases must be evaluated individually with veterinary surgeon and human prosthetic specialist working together to create a successful outcome. Ongoing management of prosthetic limbs in animals requires a strong commitment from the pet’s owner.

After Amputation “How can I help my pet when he/she comes home from surgery?” For the first few days to weeks after surgery, there are some things you can do to help you pet adjust and recover.

Please keep your pet in a comfortable, safe indoor location for 24-48 hours until he/she is very steady on his/her feet. Do not allow free access to stairs or slippery floors.

Your pet may be groggy for a few days. He or she may whine or appear more anxious than usual; this may indicate pain/discomfort or side-effects of the medications. Call your veterinarian for assistance with medication adjustments or return for exam and additional pain medications as needed.

For front leg amputees, use a sling under the chest and for back leg amputees, use a sling under the belly during the first 7-10 days to assist when walking or going down the occasional stair and to prevent falling on slippery surfaces.

**There are some products that can be used to assist pets during walking; some can be ordered specifically for amputees. Examples include: RuffWear Web Master Harness (front); WalkAbout Harness (front, rear and belly options).

Avoid any rigorous activity for 4 weeks. Short, leashed walks are fine.

Monitor appetite and attitude. If both do not steadily improve over the first 2-3 days, call your veterinarian or return for progress evaluation and problem-solving.

You can expect your pet to have a bowel movement within 5 days. He/she may need assistance with posturing to defecate; supporting the rear leg or holding him/her under the belly may be beneficial. Some animals take longer for their first bowel movement depending on when they last ate prior to surgery and when they started eating after surgery. It may be abnormal in color and consistency for 2-3 days. If you have any concerns, please speak with your veterinarian.

Please confirm that your pet has urinated within 24 hours of returning home. If he/she does not, or you notice any problems related to urination, please speak with your veterinarian. Your female dog may need assistance with posturing to urinate; supporting the rear leg or holding her under the belly may help.

Please look at the incision on your pet’s hip or chest twice daily. It should be dry, slightly red along the margins, and slightly swollen/thick on the edges. Over several days, it should lose redness and swelling. Incision problems to call your veterinarian about:

–gapping (the edges should be exactly touching)

–discharge (other than small amount of crusting)

–swelling (other than slightly raised skin near edges).

Some bruising is normal and will resolve in 5-7 days.

It is not uncommon in front limb amputees for a seroma to develop under the incision near the bottom in the first 2 weeks; this is a pocket of normal tissue fluids that develops in a high motion/loose tissue area such as the armpit region after an amputation. If the swelling is smaller than a plum, monitor and apply warm compresses to the area to encourage the fluid to reabsorb more quickly (3-7 days.) If the seroma progressively enlarges, please have your veterinarian assess the problem. **Bandaging all the way around the chest or using a ThunderShirt™ to apply pressure to the surgical site will prevent this fluid accumulation and may improve comfort significantly by stabilizing the muscles that have been sewn together.

Do not allow your pet to lick or chew the incision. Pets tend to want to lick early in the healing period and this can compromise the incision and predispose to infection. If necessary, please use an E-collar or cover the incision area with a customized t-shirt or shorts if you must leave your pet unattended.

Living without all Limbs “Will my pet ever be happy and normal again?”

After a few days to a few weeks of recovery, life without a typical number of legs proceeds very well. The functional prognosis for dogs treated surgically with amputation is considered very good. The majority of dogs return to a high level of activity and endurance for their age. Following the four week recovery period, there are no general limitations to their lifestyle. While dogs and cats undoubtedly live highly emotional lives, they do not seem to display the sense of emotional loss after losing a limb as many people do. They either do not appreciate it as a loss or they move past it and accommodate to the loss so quickly and effectively, that we do not appreciate it as a problem for them.

Rearlimb amputees tend to return to near normal mobility; forelimb amputees need to adjust their gait more significantly and will not be as agile or fast. But, young to middle aged animals who were healthy and athletic prior to their amputation rarely look back! They can romp and play and run with the crowd. Perhaps they won’t win the tennis ball chase every time, but they always enjoy the challenge it seems.

For the older pet, learning to move after an amputation may take more time. They may need help on/off the couch when they didn’t before. The dog may need to rest more frequently when out for his/her daily walks. Or the cat may need a shallower litter pan to make bathroom trips easier. But their enjoyment of life can be full and carefree with your love and guidance. Ideally, keep your pet on the thin side of normal his/her whole life. Any minor orthopedic condition can progress with arthritis over time with excessive, wear & tear; carrying less body weight will reduce the energy they must use and will relieve some of this stress on the joints of the remaining 3 limbs. Good parameters to monitor body condition are:

1) you should be able to feel the ribs and pelvic bones, but not see them;

2) your pet should have an “hour glass” figure when viewed from above looking down;

3) your pet should have a tucked up belly when viewed from the side.

Assist your pet with activities that he/she often fails in; it can get very frustrating for them if they always miss that last 2 inches when jumping into the car, for example. You can also provide accommodations to their home environment to make life easier for them. For example, a ramp up to the sofa or down the back stairs might make those activities more enjoyable.

A Poor Candidate “Are there circumstances or medical conditions that will make it very hard to my pet to live as an amputee?”

There are some pets who are not good candidates for limb amputation. While advancing age, a large body size and the health of the other legs are all strong considerations, how fit a pet is is probably the biggest predictor of a successful amputee lifestyle. If your pet is unable to go for a 5-10 minute walk with you (for various reasons), he or she is not likely to be able to recover and adjust to a limb amputation.

An advancing age is not a specific predictor of poor success with amputation, but age brings many other chronic medical conditions that effect the heart and lungs, muscles, joints and brain.

It also brings with it an impending end of life. Although we never know exactly when a pet will die, we do know their lifespan is finite and somewhat predictable based on breed and body size.

Discuss with your veterinarian, your pet’s predicted lifespan to help understand how much life he or she may have ahead.

A large body size (whether due to breed influence or obesity) can negatively affect amputees. This is a much more important factor in front leg amputees than rear leg amputees. The force of gravity is distributed to only three points of contact with the ground, instead of four. The remaining three legs must take that extra load, so the joints and muscles must do extra work. For some very large animals, this will be impossible; for others, the extra load will cause deterioration of the remaining limbs very quickly. Obesity can be address with aggressive reduction in calorie intake, but the first few months of surgical recovery may be very difficult for pet and owner alike.

The health of the remaining limbs will also play an important role in predicting a successful amputation lifestyle. As mentioned above, the remaining three legs must take up the additional load. If there is neurological or muscular weakness in one or more of the remaining legs, this will be made worse after amputation. If there is joint pain in one or more of the remaining legs, an amputee will not be able to limp to ease that pain.

Summary You may be facing this decision whether or not to proceed with a limb amputation for your pet.

It may be recommended because of cancer or severe trauma, or a birth defect may have created a useless leg. Regardless of the cause, the decision to proceed with amputation is a big one. Understanding the procedure and the expectations for life after surgery may help guide you in your decision-making. If you have access to the Internet, you may find online chat groups for people with pet amputees to share your story and ask for input. Your veterinarian or surgeon may be able to introduce you to fellow clients with pet amputees with whom you can discuss life issues for an amputee.

A limb amputation, though scary, may be a very successful solution to a difficult medical condition. Dogs and cats can relatively easily accommodate the loss of one of their four legs; some pets are even known to live wonderfully active lives with only two legs. With help and support from their human family, pet amputees can live a rich and enjoyable life.

Lara Marie Rasmussen, DVM, MS

Diplomate, American College of Veterinary Surgeons

Sours: https://directvetsurg.com/limb-amputation/

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$95.5M Verdict Animating and Illustrating Loading Violations and Double-Leg Amputation

Joseph A. Power, Esq., and James I Power, Esq., returned the largest double-leg-amputee verdict in the history of Illinois to a truck driver who lost his legs after two companies violated safety rules that would have prevented him from being crushed by an unstable bundle of steel tubing.

Gross negligence on behalf of two companies resulted in a man losing both his legs.

The man suffered irreparable bone fractures, posterior degloving with exposed muscles, and arterial disruption. Doctors tried to restore blood flow to the right leg using a harvested vein from an undamaged area. It would need to be amputated four days later after necrosis, resulting in muscle death throughout the limb. They tried to save the left leg using multiple plates, screws, and external fixations. However, three weeks after the incident, an infection began to form, and the patient’s left leg would be removed as well.

The two companies involved in loading and unloading the bundles of steel tubing—each bundle weighing approximately 3,400 pounds—tried to focus blame on one another. The company that received the bundles argued that the loading company violated safety rules by improperly placing a full bundle of steel overhanging a half-full bundle, creating an unsafe weight distribution. The loading company alleged that the receiver failed to follow industry practice in unloading the bundles and required help from the driver, who was not certified or trained to act as a rigger.

The Powers needed a visual presentation that would magnify the gross negligence exhibited by both companies while illustrating the unimaginable pain and suffering their client endured as he lost his legs over the course of three weeks.

The following visuals helped jurors understand why their client deserved a $95.5M verdict for his pain and suffering, which was later reduced 10 percent for contributory negligence. Additionally, the 3rd Party Defendant agreed to pay $500K and waive the company’s Workers’ Compensation Lien of $2.1M.

Exhibit A: Establishing the Liability of the Loaders

The first animation establishes why the loading company shared liability for the injury because it improperly loaded full bundles of steel tubing on top of, and overhanging, a half-bundle of tubing, causing a cantilever effect.

The first animation demonstrated the improper loading procedure.

First, we show the two loading configurations as drawn by the Supervisor in charge at the time, and the employee who loaded the bundles - both of which violated safety rules. After demonstrating the wrong ways in which the company testified to loading the bundles, we show five safer alternative configurations that would have prevented them from rolling off and crushing the Plaintiff’s legs. The “Right Way V.S. Wrong Way” animation helped jurors understand why the loading company clearly shared liability for the plaintiff’s injury.

Exhibit B: Establishing the Liability of the Receivers

Once we had established the first company’s negligence, we needed to anchor the jury’s understanding of the second company’s rule violations. First, the Plaintiff, a truck driver, was uncertified to unload these bundles but made to do so anyway despite his objections. Furthermore, the unloader improperly lifted the bundle too quickly, and at a time when the Plaintiff was still in the “zone of danger.”

The second animation magnified the liability shared by the unloading company.

We open the animation with an establishing shot of the improper configuration based on photos. We then show how improperly lifting the full bundle with the unsupportive half-full bundle underneath resulted in a cantilever effect that caused the bundle to roll off the stack and crush the Plaintiff’s legs. The animation concludes with a graphic summary of all the plaintiff’s damages, which is also illustrated below.

Exhibit C: Summarizing the Totality of Damages

Once we had established how this man was injured, we introduced jurors to the painful injuries he suffered as a result of the two companies’ negligent actions.

An illustrated injury summary captures the initial damages.

The illustration in the center conveys the massive destruction to the plaintiff’s legs immediately after the incident. Colorized CT scans along the sides focus attention on the most brutal details of the plaintiff’s suffering.

Exhibit D: Attempting to Save the Right Leg

Severe disruption to arteries in the patient’s right leg required that doctors restore blood before tissue started to die off. They harvested the saphenous vein from the undamaged region and performed an end-to-end anastomosis in an attempt to restore blood.

This surgery illustration shows the failed attempt to save the right leg.

Illustrating this experience helped Mr. Power magnify the dramatic effort involved in the futile attempt to rescue the Plaintiff ‘s leg. The attempt at restoring blood would ultimately fail, as illustrated below.

Exhibit E: Disarticulating the Right Leg

Over the next four days, the reality began to set in that tissue was dying and the leg would need to be removed. Doctors cut an incision over the right knee, disconnected the tibia and fibula from the femur, and amputated the leg.

This is how the right leg was ultimately amputated.

Illustrating the most important chapters of this surgery helped anchor the jury’s understanding of the Plaintiff’s traumatic experience.

Exhibit F: Revisiting the Right Leg

Five days after the amputation, nonviable skin, bone, and muscle would need to be removed; and the muscle flap would need to be created and closed over the stump.

This illustration showed how nonviable skin, bone, and muscle was removed.

Illustrating each of these procedures one-by-one helped Mr. Power convey four traumatic snapshots of a horrific experience.

Exhibit G: Highlighting Efforts to Save the Left Leg

As the Plaintiff was coming to grips with the reality of losing his right leg, an immense amount of hardware was being installed up, down, and all around his left leg - in an attempt to reduce fractures and save it from amputation. Damage was so severe and widespread, four X-rays were needed to capture it all. We added color to these black-and-white images to show jurors the extensive fractures.

Color Diagnostic 1

The first Color Diagnostic highlights the plates and screws that were installed into the patient’s upper leg to reduce the significant fractures throughout his femur, tibia, and fibula.

Color Diagnostic 2

This next Color Diagnostic shows the external fixator that was installed around the lower leg in an attempt to reduce fractures in the patient’s tibia and fibula.

Color Diagnostic 3

Here we focus a bit lower on the external fixator installed around the patient’s ankle. Comparing the colorized image to the black-and-white film in the upper-right corner shows the level of impact Color Diagnostics can add to radiographic films.

Color Diagnostic 4

Finally, this colorized X-ray shows another angle of the patient’s fibula fractures and hardware 10 days after the initial injury occurred. Collectively, these four Color Diagnostics conveyed the magnitude of damages throughout the Plaintiff’s leg, as well as the intense effort to save it.

Exhibit H: Amputating the Left Leg

A couple weeks after having hardware installed throughout his leg, a fungal infection began to develop. The second leg would now need to be removed.

This is how the left leg was amputated.

Illustration captured the most brutal chapters of this surgical procedure involving the transection of the femur using an oscillating saw. After ligating the vessels and closing the muscle flap, a VAC was applied over the stump.

Exhibit E: Amputating the Necrotic Stump

After removing the left leg, doctors would again need to revisit the patient’s right stump, where severe necrosis was beginning to set in.

Revisiting the Right Stump

Similar to the left leg, doctors completed a transection of the femur with a saw, ligated vessels, closed the flap, and applied a wound VAC.

Exhibit F: Concluding the Surgical Experience

Finally, a week after losing his second leg, the wound VAC’s were removed, unhealthy tissue was debrided, and the wound was closed with staples. The Plaintiff would now begin his journey as a double-leg amputee, and jurors would be faced with deciding how the defendants should compensate this traumatic experience.

Closing the Wound

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