Ulceration with full thickness loss of the skin in the lower extremity may be associated with impairment if it affects, standing, walking or other functions.
Site of Ulceration
Percent Impairment
Foot
Lower Extremity
Whole Person
heel covering (limits standing and walking)
35
25
10
chronic osteomyelitis of foot (with drainage and limits on wearing footwear)
35
25
10
plantar surface over first metatarsal (limits standing and walking)
17
12
5
plantar surface over fifth metatarsal (limits standing and walking)
17
12
5
chronic osteomyelitis of tibia with active drainage
10
7
3
chronic osteomyelitis of femur with active drainage
10
7
3
ischial covering (limits sitting time)
0
12
5
tibial tuberosity (limits kneeling)
0
5
2
where:
• I am not sure why osteomyelitis of the femur or tibia would cause impairment of the foot.
• The impairment persists even if there is a skin graft that successfully covers the affected area.
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