Fravel v. Burlington Northern Railroad

671 S.W.2d 339, 1984 Mo. App. LEXIS 3682
CourtMissouri Court of Appeals
DecidedApril 24, 1984
Docket47024
StatusPublished
Cited by16 cases

This text of 671 S.W.2d 339 (Fravel v. Burlington Northern Railroad) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fravel v. Burlington Northern Railroad, 671 S.W.2d 339, 1984 Mo. App. LEXIS 3682 (Mo. Ct. App. 1984).

Opinion

CRIST, Presiding Judge.

Plaintiff worked as a laborer for defendant railroad. On March 22, 1979, railroad assigned him to dismantle a damaged box *341 car. During the course of the dismantling process, plaintiff sustained severe and permanent injuries when he was crushed by a one-half ton steel end plate.

Plaintiff brought an action under the Federal Employers Liability Act, 45 U.S.C. § 51 et seq., alleging railroad’s negligence by reason of the res ipsa loquitur doctrine. An extensive trial followed, concluded by a jury verdict in favor of plaintiff for $1,276,-000. Judgment was entered accordingly. Railroad appeals. We affirm.

Railroad raises five points. Point four concerns the giving of an instruction patterned on MAI 24.01. Point five relates to the use of an instruction based on MAI 8.02. Both instructions are required; both have recently been approved. See Bair v. St. Louis-San Francisco Ry. Co., 647 S.W.2d 507, 510-11 (Mo. banc), cert. denied sub nom. Burlington Northern, Inc. v. Bair, — U.S. -, 104 S.Ct. 107, 78 L.Ed.2d 109 (1983); Dunn v. St. Louis-San Francisco Ry. Co., 621 S.W.2d 245, 255-56 (Mo. banc 1981), cert. denied, 454 U.S. 1145, 102 S.Ct. 1007, 71 L.Ed.2d 298 (1982). No further comment need be made concerning these instructions.

Plaintiff suffered multiple abrasions, contusions, and fractured bones from being crushed and pinned beneath the end plate. In addition his right shoulder was dislocated and his left thigh was punctured. The break in plaintiffs left leg was a commi-nuted fracture, a fracture resulting in more than two pieces of bone.

Plaintiff’s left leg was initially placed in traction. Two days after the injury an orthopedic surgeon decided to operate. A traction pin, which is a stainless steel threaded wire, was placed on the left tibia just below the knee. The left femur was broken in three large, jagged fragments which caused considerable bleeding into the muscles of the thigh.

Following the operation plaintiff again was placed in traction and remained so until May 16, when the traction pin was surgically removed and a cast applied. Healing was slow, however, because little bone formation between the breaks occurred. After the second operation plaintiff remained in the hospital twelve more days for intense physical therapy. When plaintiff was discharged on May 28, he was placed on exercise programs but could place no weight on the left leg. X-rays taken then showed small amounts of new bone formation but also indicated a bowing of the left leg.

Follow-up visits to the orthopedic surgeon revealed continued bowing of the left leg, indicating the fracture sites had not properly solidified. Twice daily physical therapy was begun on July 16 and continued until August 1.

During the next few months plaintiff visited his doctor several times. On October 25, the doctor discovered a one-half inch shortening of plaintiff’s left leg. The doctor advised plaintiff to undergo a “quadriceps plasty” on the left thigh. In this operation to increase the knee joint motion, the muscles are stripped from the bone. During the operation the surgeons found plaintiff’s kneecap had become fused to the femur. This condition was also corrected.

Immediately after the operation plaintiff’s knee joint enjoyed 90° of flexion. A little over a week after discharge, however, plaintiff’s knee lost 40° of flexion. X-rays revealed the kneecap was again becoming fused with the femur. The doctor recommended removal of the kneecap. Thus, plaintiff underwent a fourth operation.

After the kneecap was removed on December 18, plaintiff began experiencing pain in the knee and difficulty sleeping. Over the next few months the pain gradually subsided and plaintiff’s ambulation increased. His left leg, though, remained shorter than his right leg.

By June 17, 1980, plaintiff was complaining of occasional pain about the back of his right shoulder. Spinal x-rays evidenced a deterioration of the disc space between the fifth and sixth vertebrae. Plaintiff’s condition remained relatively unchanged until he was able to return to work on December 3, 1980.

*342 In December of 1980 plaintiff was examined by a second orthopedic surgeon. This surgeon testified at trial as to the pain plaintiff experienced in his neck, right side, and shoulder. This pain combined to weaken plaintiffs ability to grip things with his right hand. Due to the shortened left leg, plaintiffs pelvic area became tilted to one side resulting in a rotational type limping gait. The surgeon opined that if the disc space in plaintiffs spine continued to deteriorate, surgery would be required to relieve the extreme pain it would cause. The surgeon also noted arthritic changes about the left side of the hip and felt a hip replacement would probably be needed. The doctor also thought a total knee replacement operation would be called for in the future.

Railroad’s first complaint concerns the exhibition of plaintiffs injuries to the jury. After the second orthopedic surgeon had testified for nearly two hours, referring to x-rays taken of plaintiff and various anatomical charts and models, plaintiffs counsel proposed to display plaintiff to the jury wearing shorts and a T-shirt. During a conference at the bench, railroad objected to any demonstration of plaintiff, claiming it would inflame the jury and prove nothing, the injuries having been adequately testified to by the witnesses. The trial court overruled the objection upon learning plaintiffs intention was to display his left leg, including the deformed kneecap area, his tilted hip, the attending scars, and restricted movement in the leg.

The jury was allowed to view plaintiff walk in the courtroom as the doctor pointed out his injuries. Then the doctor had plaintiff lie down before the jury. The transcript indicates the following:

A. [Surgeon] There is not much what I want to show here. There is just two things. It doesn’t give me much room. Come on down a little farther. Are you comfortable? Okay. Lining his hip up as he should, putting the kneecaps up, you can see where the foot goes that way. The motion of the knee — let me have it, Ray. He should just straighten it all the way. He should hyper-extend which he does straighten it out. He doesn’t — he’s got a little flexion in bending it. That’s it. I’m sorry to hurt you, Ray. That’s as far as that knee will go. It is fixed at that point. Okay, Ray, let me just have it again for a second. Bend your knee gently. I’ll be as easy as I can about the rotation of the hip. We were talking about external rotation. That’s it. It won’t go internally. He’ll go, but it hurts. That’s very painful as opposed to this, okay? There is a significant difference. Okay, Ray, I think that’s all I need.

Plaintiff’s counsel then asked the doctor to specifically point out the scars from plaintiff’s surgery, the area of the missing kneecap, and the tilt of the hip.

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Bluebook (online)
671 S.W.2d 339, 1984 Mo. App. LEXIS 3682, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fravel-v-burlington-northern-railroad-moctapp-1984.