Case details

Surgeon claimed tenting of patient’s skin was relieved

SUMMARY

$0

Amount

Verdict-Defendant

Result type

Not present

Ruling
KEYWORDS
blisters, displaced fracture, extending growth plate at the ankle, fibula, fracture, full-thickness skin loss, of the fibula
FACTS
On Sept. 25, 2016, plaintiff Gage Brandt, 16, a high school student, was a linebacker in a high school football game when he sustained a displaced fracture of the fibula and a Salter-Harris type III fracture, which consisted of a compound fracture of the distal tibia with the fracture extending into the growth plate at the ankle. Gage was subsequently transported to the Emergency Department of Redlands Community Hospital, in Redlands, where he was evaluated by Dr. Steven Yegge, an orthopedic surgeon. Yegge noted tenting of the skin over the ankle’s medical malleolus as a result of the displaced distal tibia. As a result, he splinted the leg and took Gage to surgery the next morning. Yegge then performed an open reduction and internal fixation of both fractures. The surgery was considered a success. However, following the surgery, Gage developed fracture blisters and silver-dollar-sized, full-thickness skin loss on the medial aspect of the left leg. Gage sued Yegge; Yegge’s medical office, Beaver Medical Group; and a company that provided management and consulting services to the medical group, EPIC Management, L.P. Gage alleged that Yegge failed to properly treat his and that this failure constituted medical malpractice. He also alleged that Beaver Medical Group and EPIC Management were liable for Yegge’s actions. Beaver Medical Group and EPIC Management were ultimately dismissed from the case. Thus, the matter continued against Yegge only. Gage claimed that Yegge failed to relieve the tenting of the skin when he splinted the left leg. He alleged that Yegge’s failure to do so led to the pressure ischemia, which caused the fracture blisters and full-thickness skin loss that manifested as an ulcer. Yegge contended that he performed a temporizing reduction when he splinted the leg, relieving the tenting, even though he did not document the procedure., Gage developed fracture blisters and silver-dollar-sized, full-thickness skin loss on the medial aspect of the left leg. He subsequently underwent several surgeries over the next four months to debride the ulcer, as well as underwent wound closure and hyperbaric oxygen treatment. Gage also had a peripherally inserted central catheter line placed for a six-week course of intravenous, antibiotic treatment to treat a possible wound infection and osteomyelitis. Gage is left with a scar on his left leg as a result of the ulcer. He also claimed that he is left with pain due to scar-tissue contracture. However, he allegedly had no significant limitations. Thus, Gage sought recovery of damages for his alleged past and future pain and disfigurement.
COURT
Superior Court of San Bernardino County, San Bernardino, CA

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