Description

Amputations from the lower limb can result in significant impairment of the individual.


 

Percent Impairment

Amputation

Whole Person

Lower Extremity

Foot

great toe at interphalangeal joint

2%

5%

7%

lesser toes at metatarsophalangeal joint

1%

2%

3%

great toe at metatarsophalangeal joint

5%

12%

17%

all toes at metatarsophalangeal joint

9%

22%

31%

metatarsal, other than first

2%

5%

7%

first metatarsal

8%

20%

28%

transmetatarsal

16%

40%

57%

midfoot

18%

45%

64%

Syme amputation of foot

25%

62%

100%

below the knee amputation,3 inches or more remaining

28%

70%

100%

below the knee amputation, less than 3 inches remaining

32%

80%

100%

knee disarticulation

32%

80%

100%

above the knee amputation, distal

32%

80%

100%

above the knee amputation, midthigh

36%

80%

100%

above the knee amputation, proximal

40%

90%

100%

hip disarticulation

40%

100%

100%

hemipelvectomy

50%

100%

100%

 

 

References:

American Medical Association. Guides to the Evaluation of Permanent Impairment, Fourth Edition. 1995. pages 3/83.

 

>>>37.14.04 Impairment due to Ankylosis of Toes

 

Overview:

Ankylosis of the toes can result in impairment due to derangement of gait and standing ability. The effect of the ankylosis depends on what position the toes are locked into.

 

 

percent impairment

full extension

whole person

lower limb

foot

none

0

0

0

fifth toe

1

2

3

fourth toe

1

2

3

fourth and fifth toes

2

4

6

third toe

1

2

3

third and fifth toes

2

4

6

third and fourth toes

2

4

6

third, fourth and fifth toes

2

6

9

second toe

1

2

3

second and fifth toes

2

4

6

second and fourth toes

2

4

6

second, fourth and fifth toes

2

6

9

second and third toes

2

4

6

second, third and fifth toes

2

6

9

second, third and fourth toes

2

6

9

second, third, fourth and fifth toes

3

8

12

great toe

4

10

14

great and fifth toes

5

12

17

great and fourth toes

5

12

17

great, fourth and fifth toes

6

14

20

great and third toes

5

12

17

great, third and fifth toes

6

14

20

great, third and fourth toes

6

14

20

great, third, fourth and fifth toes

6

16

23

great and second toes

5

12

17

great, second and fifth toes

6

14

20

great, second and fourth toes

6

14

20

great, second, fourth and fifth toes

6

16

23

great, second and third toes

6

14

20

great, second, third and fifth

6

16

23

great, second, third and fourth toes

6

16

23

all five toes

7

18

26

 

 

 

percent impairment

position in function

whole person

lower limb

foot

none

0

0

0

fifth toe

0

1

2

fourth toe

0

1

2

fourth and fifth toes

1

3

4

third toe

0

1

2

third and fifth toes

1

3

4

third and fourth toes

1

3

4

third, fourth and fifth toes

2

4

6

second toe

0

1

2

second and fifth toes

1

3

4

second and fourth toes

1

3

4

second, fourth and fifth toes

2

4

6

second and third toes

1

3

4

second, third and fifth toes

2

4

6

second, third and fourth toes

1

3

4

second, third, fourth and fifth toes

2

6

8

great toe

4

9

13

great and fifth toes

4

11

15

great and fourth toes

4

11

15

great, fourth and fifth toes

5

12

17

great and third toes

4

11

15

great, third and fifth toes

5

12

17

great, third and fourth toes

5

12

17

great, third, fourth and fifth toes

5

13

19

great and second toes

4

11

15

great, second and fifth toes

5

12

17

great, second and fourth toes

5

12

17

great, second, fourth and fifth toes

5

13

19

great, second and third toes

5

12

17

great, second, third and fifth

5

13

19

great, second, third and fourth toes

5

13

19

all five toes

6

15

21

 

 

 

percent impairment

full flexion

whole person

lower limb

foot

none

0

0

0

fifth toe

1

2

3

fourth toe

1

2

3

fourth and fifth toes

2

4

6

third toe

1

2

3

third and fifth toes

2

4

6

third and fourth toes

2

4

6

third, fourth and fifth toes

2

6

9

second toe

1

2

3

second and fifth toes

2

4

6

second and fourth toes

2

4

6

second, fourth and fifth toes

3

8

12

second and third toes

2

4

6

second, third and fifth toes

2

6

9

second, third and fourth toes

2

6

9

second, third, fourth and fifth toes

3

8

12

great toe

5

13

18

great and fifth toes

6

15

21

great and fourth toes

6

15

21

great, fourth and fifth toes

7

17

24

great and third toes

6

15

21

great, third and fifth toes

7

17

24

great, third and fourth toes

7

17

24

great, third, fourth and fifth toes

8

19

27

great and second toes

6

15

21

great, second and fifth toes

7

17

24

great, second and fourth toes

7

17

24

great, second, fourth and fifth toes

8

19

27

great, second and third toes

7

17

24

great, second, third and fifth

8

19

27

great, second, third and fourth toes

8

19

27

all five toes

8

21

30

 


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