| 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 |