Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:7a:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 7A (pt 1/3)
Character Range: 132688–135832

7A

When the only Other Impairment rating relates to amputations.

The final functional impairment rating of the lower limbs (obtained in Step 5) is to be compared with the Other Impairment rating or ratings from Table 3.2.3.

The higher of the two ratings is then taken as the total final impairment rating for the lower limbs.

Other Impairment Table 3.2.3

     Impairment

AMPUTATIONS OF LOWER LIMBS
      Ratings Criteria
      NIL  No amputation of any toes.
      TWO Amputation of single toe other than great toe.
FIVE Amputation of 2 to 4 toes on foot excluding great toe.
                   * Amputation of great toe.
                   * Amputation of great toe and one other toe on one
                 foot.
                   * Amputation of great toe and 2 or more other toes
                 on one foot.
                   * Mid-metatarsal amputation.
      TWENTY  Mid-tarsal amputation.

                   * Amputation at ankle.
                   * Amputation below knee with functional stump.
                   * Amputation above knee with functional stump.
                   * Disarticulation at knee.
                   * Amputation below knee with short stump (that is
                 7.5 cm or less below intercondylar notch).
                   * Disarticulation at hip joint.
                   * Amputation above knee with short stump (that is
7.5 cm or less below tuber ischii). SIXTY  Hemipelvectomy.

 No age adjustment permitted for this table

If applicable, ratings may be given from this table for each of the lower limbs.
  Other Impairment Table 3.2.4

LOWER LIMBS:
      Impairment    Criteria
      Ratings

      NIL  No joint replacement or realignment in lower limbs. FIVE  Tibial osteotomy.
                   * Total knee replacement.
                   * Total hip replacement.

 No age adjustment permitted for this table

Where applicable, up to four ratings may be made from this table - one rating for each knee and one for each hip.

Example:

    A veteran has an amputation of his right foot as the only accepted condition of his lower limbs which upon investigation is found to fit the description of "amputation below knee with functional stump".

    By following steps 1 to 6 inclusive, a rating will have been selected:

           from Table 3.2.2:

             probably 10 to 30 impairment points (depending on the severity of the effect of the amputation on the particular veteran);

           from Table 3.2.3:
30 impairment points.

    These two ratings are to be compared and the veteran receives the higher as the total final impairment rating for his amputation of right foot.

    If multiple accepted conditions are responsible for the impairment of the lower limbs, the situation will be more complicated and may require applying Chapter 20 (Apportionment).

    In some cases, two other impairment ratings are to be given. In such cases, the functional impairment for the limbs should be apportioned into three parts:

    + one part corresponding to the impairment due to any amputation of the right leg;
+ one part corresponding to the impairment due