Opinion
December 13, 1977.
Workmen's compensation — Scope of appellate review — Error of law — Violation of constitutional rights — Findings of fact — Substantial evidence — The Pennsylvania Workmen's Compensation Act, Act 1915, June 2, P.L. 736 — Loss of use of foot — Medical testimony — Use of prosthesis device.
1. In a workmen's compensation case where the party with the burden of proof prevailed below, review by the Commonwealth Court of Pennsylvania is to determine whether an error of law was committed, constitutional rights were violated or necessary findings of fact were unsupported by substantial evidence. [639]
2. Provisions of The Pennsylvania Workmen's Compensation Act, Act 1915, June 2, P.L. 736, should be liberally construed, and benefits for the loss of use of a foot should be awarded if use of the foot is lost for all practical intents and purposes although absolutely all use has not been lost. [639-40]
3. Unequivocal medical testimony specifically describing functional limitations caused by an injury to a foot and concluding that use of the foot has been lost to all practical intents and purposes supports a finding in a workmen's compensation case that the injured employe has sustained a loss of the foot, and the fact that the employe can still walk and work with the aid of a prothesis device does not dictate a contrary result. [640-1]
Submitted on briefs, September 12, 1977, to President Judge BOWMAN and Judges MENCER and BLATT, sitting as a panel of three.
Appeal, No. 1628 C.D. 1976, from the Order of the Workmen's Compensation Appeal Board in case of Thomas P. Elkins v. U.S. Steel Corporation, No. A-71220.
Petition with Department of Labor and Industry for review of workmen's compensation agreement. Additional benefits awarded. Employer appealed to the Workmen's Compensation Appeal Board. Award modified. Employer appealed to the Commonwealth Court of Pennsylvania. Reversed and remanded. ( 18 Pa. Commw. 35) Additional benefits awarded. Employer appealed to the Workmen's Compensation Appeal Board. Decision affirmed. Employer appealed to the Commonwealth Court of Pennsylvania. Held: Affirmed.
Richard F. Lerach, for petitioner.
Alexander J. Pentecost, with him James N. Diefenderfer, for appellees.
The United States Steel Corporation (employer) appeals here from an order of the Workmen's Compensation Appeal Board (Board) which affirmed a referee's decision awarding compensation to Thomas Elkins (claimant) for the loss of the use of his left foot.
In 1968, an accident in the course of the claimant's employment necessitated the amputation of all five toes and portions of the metatarsal bones of his left foot. On December 6, 1968, pursuant to The Pennsylvania Workmen's Compensation Act (Act), the claimant filed a petition for benefits alleging that he suffered the industrial loss of the foot. He subsequently withdrew this petition, however, and entered into an agreement with his employer for compensation for the specific loss of all five toes. After benefits under this agreement had ceased, the claimant filed a petition for review alleging that he was entitled to additional specific losses, and, after several hearings, the referee found that "the claimant suffered the industrial loss of his left foot" and awarded additional benefits. The Board on appeal affirmed the award but modified the payment schedule to credit amounts paid by the employer under the prior agreement. On appeal to this Court, we reversed the Board, holding that the referee and the Board had applied the wrong standard in determining the loss of use, and directed the Board on remand to determine if the claimant had lost the use of his foot for all practical intents and purposes. See United States Steel Corp. v. Workmen's Compensation Appeal Board, 18 Pa. Commw. 35, 333 A.2d 836 (1975). On remand, the referee found that the claimant had lost the use of his left foot for all practical intents and purposes and additional benefits were again awarded. The Board affirmed the referee's decision and the employer has appealed to this Court.
Act of June 2, 1915, P.L. 736, as amended, 77 P. S. § 1 et seq.
Section 427 of the Act, 77 P. S. § 876.1, provides that this Court's scope of review in workmen's compensation appeals is that defined in Section 44 of the Administrative Agency Law, 71 P. S. § 1710.44. Section 44 limits our scope of review here to a determination of whether or not an error of law was committed, constitutional rights were violated, or whether or not findings of fact are unsupported by substantial evidence. The sole issue raised by the employer here is whether or not the referee's finding of loss is supported by adequate competent evidence.
Act of June 4, 1945, P.L. 1388, as amended, 71 P. S. § 1710.1 et seq.
Section 306(c)(24) of the Act, 77 P. S. § 513, provides that "[p]ermanent loss of the use of a . . . foot . . . shall be considered as the equivalent of the loss of such . . . foot. . . ." However, a finding of loss of use under Section 306(c) is not a finding that the injured member has absolutely no use, Curran v. Walter E. Knipe Sons, Inc., 185 Pa. Super. 540, 547, 138 A.2d 251, 255 (1958), and we held in Lebanon Steel Foundry v. Workmen's Compensation Appeal Board, 12 Pa. Commw. 530, 533, 317 A.2d 315, 316 (1974) that Section 306(c) should be so construed that every reasonable intendment of its express language should be upheld in behalf of the employee.
The evidence presented by the claimant before the referee consisted of his own testimony and that of his physician. This physician, a specialist in rehabilitative medicine, unequivocally stated that the substantial loss of the toes and foot indicated to him that the claimant had suffered the loss of the foot for all practical intents and purposes. In listing the limitations which the injury placed on the claimant, his physician said that the claimant had lost the most important functional part of his foot and that he could not climb, run, make quick and dexterous movements of his foot or stand for very long without a prosthesis. On this record, we believe that the referee's findings that the claimant had lost the use of his foot for all practical intents and purposes is clearly supported by competent evidence.
The employer argues, relying on Verna v. Stabler, 204 Pa. Super. 87, 203 A.2d 578 (1964), that the evidence in the record which indicates that the claimant was now employed as an assistant to a punch press operator undermines the competency of his physician's testimony, because that job requires standing and walking. It is true that the Superior Court held in Stabler, supra, that a physician's testimony of loss of use of a foot was of little value in the face of uncontradicted testimony that the claimant was later successfully employed in a job which required the constant use of the injured member. We believe, however, that the present case is distinguishable from Stabler in light of the uncontradicted testimony of the claimant's physician that a prosthesis device in the claimant's shoe permits him to walk and stand and that without it he could not work. We believe, therefore, that the fact that the injured member may now have some limited use but only in combination with a prosthesis device does not adversely affect the competency of the physician's testimony.
The order of the Board is affirmed.
ORDER
AND, NOW, this 13th day of December, 1977, the order of the Workmen's Compensation Appeal Board is affirmed and it is ordered that judgment be entered in favor of Thomas Elkins and against United States Steel Corporation in the amount of $60.00 per week for a period of 150 weeks, at which time compensation shall terminate. It is further ordered that compensation previously paid to the claimant by the defendant under a prior agreement for a period of 104 weeks at the rate of $60.00 per week be credited to the amount of compensation owed by the defendant to the claimant pursuant to this order.