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 |
Specialty: Sports Medicine & Rehabilitation, Surgery, orthopedic