1. Assessments for loss, loss of the use of, or impairment of the lower extremities are shown in the Table to Article 18.01.
| Table to Article 18.01 |
| 1. | Loss of any toe, other than big toe |
3% |
| 2. |
Loss of big toe, with head of metatarsal |
10% |
| 3. |
Loss of foot: |
| (a) |
By midtarsal disarticulation (Chopart's Amputation) |
30% |
| (b) | Between metatarsus and tarsus (Lisfranc's Amputation) | 30% |
| (c) | Amputation of foot at ankle (Pirogoff's Amputation) | 50% |
| (d) | Disarticulation of foot with removal of both malleoli(Syme's Amputation) | 50% |
| 4. | Loss of one leg at any level above Syme's Amputation (ankle disarticulation) to 4½" below knee | 50% |
| 5. | Loss of leg below knee, less than 11.5 cm. stump | 60% |
| 6. | Loss of leg through knee joint | 60% |
| 7. | Loss of leg above the knee, lower | 70% |
| 8. | Loss of leg, upper third thigh | 80% |
| 9. | Loss of leg, upper third thigh | 80% |
| 10. | Disarticulation of hip- joint | 90% |
| 11. | Loss of both legs at any level, Syme's Amputation or above | 100% |
| 12. | Hallux rigidus up to | 15% |
| 13. | Bony fusion of ankle, optimum position | 20% |
| 14. | Bony fusion of knee, optimum position | 30% |
| 15. | Bony fusion of hip- joint, optimum position | 50% |
| 16. | Injuries to nerves of leg, with complete loss of function. |
| (a) | Sciatic | 60% |
| (b) | Lateral popliteal | 20% |
| (c) | Anterior tibial | 10% |
| (d) | Musculo- cutaneous | 10% |
| (e) | Medial popliteal | 20% |
| (f) | Post tibial | 10% |
| (g) | Femoral | 50% |
| 17. | Shortening of leg |
| (2.5 to 7.5 cm.) | 10% |
| (7.5 to 13 cm.) | 15% |
| 18. | Osteoarthritis hip |
| mild |
10- 25% |
| moderate |
25- 35% |
| severe |
35- 50% |
| 19. | Hallux valgus | 0- 10% each foot |
| 20. | Osteoarthritis toes except great toe | less than 3% |
| Osteoarthritis great toe | 1- 5% |
| 21. | Pes planus or pes cavus in general | Nil to 10% |
| If severe callosities, corns, may consider | 15% to 20% rare |
| 22. | Osteoarthritis knee | Nil to 40% |
| (a) | full range, no effusion, stable, some crepitus | 5- 10% |
| (b) | lacks 10° extension | minimum 15% |
| (c) | flex only to 90° | minimum 15% |
| (d) | fused (optimal position) | 30% |
| (e) | unstable, lacks extension or flexes only 90° | minimum 20% |
| (f) | unstable, effusion, lacks extension or flexion beyond 90° | minimum 20% |
| (g) | unstable, effusion, lacks extension and flexes less than 90° | 25% |
| (h) | severely affected knee, unstable | 30% to 40% |
| (i) | prosthesis: ................ assess according to function |
