The patient went to the emergency department eight days after a hip joint and complained of severe pain in the knee and upper thigh. Hip and and upper part of thighs were x-rayed but no error was found and the patient was sent home.

Three months later, staff members discovered the special accommodation where the elderly person had an open wound at the knee where the broken leg had gone through the skin.

According to the doctor who then examined the patient, the bone had been broken even during the visit to the emergency three months earlier.

The fracture had been open for so long that the leg had to be amputated just above the knee of the patient.