Settlement
$6 Million Settlement - Medical Malpractice
Larry R. Rogers Jr.
T.R. v. Chicago Area Hospital
(2019) Medical Malpractice: On February 2, 2016, 52 year old T.R. arrived at a Chicago area hospital around 5:00 pm with pain in her knee and no feeling in her foot. T.R. was brought to the emergency room by EMS paramedics after she slipped and fell on a patch of ice, complaining of an injury to her right leg causing 10/10 pain in the knee and limited range of motion in that leg. At 6:01 p.m., x-rays were ordered due to “concern for fracture/dislocation” with “pain in the knee and ankle.” Ultimately, these x-rays revealed left distal medial femoral fracture and T.R. was medicated with Morphine. Throughout the night T.R.’s chief complaint was right hip and right leg and loss of feeling her foot and calf.
At no point did the emergency room orders address popliteal artery injury nor acute compartment syndrome. The x-rays questioned the possibility of an acute fracture of the medial epicondyle of the distal right femur. A fracture in this location is in close anatomic proximity to the popliteal artery (and vein) and would be a potential source for disruption of this vessel. Despite the potential fracture, no evidence for fracture immobilization was found prior to 1:32 a.m. the following morning.
At 11:19 p.m. the Hospital began to prepare T.R. for discharge. T.R. continued to complain of lack of feeling in her foot and calf and inability to walk. Another doctor examined T.R. and noted “patient with a left distal medial femoral fracture adjacent to the prosthesis and will discuss with Orthopedic.” Again, the notes and orders did not address popliteal artery injury nor acute compartment syndrome. T.R. continued to complain of right leg swelling and that she was not able to move her right toes. At 2:03 a.m. T.R. had decreased foot sensation and faint distal pulse, at that point there began to be concern for compartment syndrome. At 2:06 a.m., T.R. was examined and found the right lower extremity swollen and firm, the dorsum of the foot was cool with faint DP pulse, and complaining of inability to move toes and with numb sensation. The medical records identify a “Concern for compartment syndrome. Consult to Ortho for eval”. At 2:26 a.m., orthopedics was consulted to rule out compartment syndrome and immediately requested a vascular surgery consult due to T.R.’s posterior knee subluxation and vascular injury, now with compartment syndrome. At 2:45 a.m., vascular surgery assessed T.R. and recommended emergent revascularization, she was taken into surgery and was diagnosed with an acute right lower extremity ischemia with resultant right popliteal artery injury.
T.R. underwent an emergent right superficial femoral artery-to-posterior tibial-artery bypass and four-compartment fasciotomy of the right lower leg. For the next year T.R. underwent multiple debridements and surgical procedures in efforts to save her leg. However, T.R. continued to have persistent leg pain. Ultimately, on April 5, 2017, T.R. underwent right above the knee amputation.
Plaintiff alleged that the emergency room physicians were required to monitor for and rule out popliteal artery injury with occlusion and compartment syndrome based upon the mechanism of injury and signs and symptoms that T.R. presented with.
Plaintiff was represented by partner, Larry Rogers Jr., and associates, Jonathan M. Thomas