![]() ![]() The pattern of antemortem trauma and contextual information support a conclusion of postoperative medical neglect, a documented problem in psychiatric institutions in Latin America. These complications, associated with degenerative changes to upper limb joints, suggest significant mobility issues. Additionally, failure of the plate resulted in degenerative changes to the acetabulum. However, it is unclear whether this resulted from surgical complications, ineffective postoperative care, or from the decedent's limited ability to follow postoperative care instructions. An improperly placed surgical plate resulted in nonunion due to limited contact between fracture margins. The skeletal analysis identified complications from an unsuccessful surgical operation for an intertrochanteric fracture of the femur. ![]() This study highlights complexities associated with postsurgical trauma interpretation of a 76-year-old female patient from a psychiatric institution in Mexico. ![]()
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