Damages
68 At 48 years of age, the first respondent clearly already had degenerative arthritic changes (Red, 53L).
69 The evidence of the first respondent and her treating GP of 14 years establishes that she was symptom-free prior to this injury (Red, 53M-P).
70 She was able to run, jump and was fond of skiing and the beach. She was fairly proud of the appearance of her legs (Red, 53P-Y).
71 She has suffered significant pain and discomfort and restrictions on her mobility (Red, 54C-D).
72 No claim was made for economic loss (Red, 54E).
73 In respect of non-economic loss, the medical evidence is essentially all one way, that is, that the injury to her knee on 5 December 2000 caused a discrete injury of its own in her knee but also triggered or made symptomatic underlying degenerative change. While it might be assumed that, at some point in the future, the first respondent would have suffered some symptoms from those degenerative changes, the evidence did not disclose when that would have been (Red, 54F-L).
74 The first respondent was still quite active at the age of 48 and that activity, including skiing and running, had not produced any symptoms (Red, 54L-O).
75 She has:
(a) experienced arthroscopy for some repair to her right knee,
(b) had fluid drained from her knee on a number of occasions, and
(c) pain, which is intermittent when she is sedentary, but which is significant and continuous while she is active on her right knee.
76 Those activities which she enjoyed before she no longer enjoys.
77 The appearance of her right knee and calf has led her to be cautious as to where she bathes. She does not wear skirts that might reveal her knee (Red, 54P-55D).
78 Over four years, the injury has produced a significant change in the first respondent's life (Red, 55D-F).
79 Her prognosis is not attractive having regard to the fact that:
(a) she has been undergoing physiotherapy and hydrotherapy for some time at the recommendation of medical practitioners and she will into the future continue to need significant measures of physiotherapy and perhaps hydrotherapy (Red, 55F-K),
(b) even with that treatment, she has now reached the stage where she will need a partial knee replacement (Red, 55K-M),
(c) the medical evidence discloses the likelihood of a need for a total knee replacement, albeit for some time in the future. There may be a requirement for additional replacement operations in the future (Red, 55R).
80 The trial judge considered the appropriate figure for non-economic loss to be 40% of a most extreme case, which is $160,000. The trial judge took into account:
(a) the age of the first respondent,
(b) the number of years she has already had to suffer pain, disabilities and restrictions on her activities,
(c) her substantial life expectancy,
(d) the probability of a need for further surgery and continuing treatment suggest that this is likely to have a significant impact on the first respondent's life for the rest of her life, and
(e) the measure of relief and increase in mobility resulting from the operations she will have (Red, 56D-57C).
81 Out of pocket expenses were agreed at $9,689.75 (Red, 57C-H).
82 As far as physiotherapy was concerned, the trial judge considered that there was clearly a benefit to the first respondent and that she clearly intended to keep at it, albeit once a month rather than twice a month (Red, 58T-Y). The trial judge halved the figure claimed for physiotherapy ($25,000 reduced to $12,500) but allowed a further $2,500 for the contingency that there may be a need for more intensive physiotherapy because of the fluctuations in the impact of the knee problems on the first respondent. The trial judge therefore allowed $15,000 for future physiotherapy (Red, 59F-Q).
83 While the first respondent had only recently commenced hydrotherapy, she had clearly given thought to the future and struck a balance in her mind between the two forms of physiotherapy, which would mean a concentration on hydrotherapy (Red, 59R-V). The trial judge found that the probability of a requirement for two sessions of hydrotherapy per week was made out as a matter of probability and the trial judge allowed the entirety of the amount claimed: $45,495 (Red, 59W-60D).
84 The trial judge was satisfied that the claim for future GP visits of $3,939.87 was made out (Red, 60D-K).
85 The partial knee replacement is due to take place immediately. The full value of that operation is appropriately to be allowed in the sum of $16,500 (Red 60L-R).
86 The need for a total knee replacement, deferred for 10 years, is also made out on the evidence and the trial judge allowed the sum of $16,332.40 as claimed (Red, 60S-X).
87 There was a strong case for a general allowance of a physiotherapy and hydrotherapy buffer for the period leading up to an operation and for the period after the immediate aftermath of the operation (costs of therapy in the immediate aftermath being factored into the cost of the operation). Calculation was difficult and perhaps even speculative, but the trial judge considered that the best present estimate of what would be an appropriate buffer was $10,000 (Red, 60X-61X).
88 The total damages amounted to $276,957.02 with 20% deducted for contributory negligence. This resulted in a verdict of $221,566.02 against the appellant and second respondent (Red, 61X-62G).
89 There was a verdict for the second respondent against the appellant in the sum of $177,252.81. There was a verdict for the appellant against the second respondent in the sum of $44,313,20.