Minnesota Administrative Rules

5223.0150 MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF LOWER EXTREMITIES.

For permanent partial disability due to amputation of lower extremities the disability of the whole body is:

A.

hemipelvectomy, 50 percent;

B.

disarticulation at hip joint, 40 percent;

C.

amputation above knee joint with short thigh stump, 3 inch or less below tuberosity of ischium, 40 percent;

D.

amputation above knee joint with functional stump, 36 percent;

E.

disarticulation at knee joint, 36 percent;

F.

amputation below knee joint with short stump, 3 inch or less below intercondylar notch, 36 percent;

G.

amputation below knee joint with functional stump, 28 percent;

H.

amputation at ankle, Syme type, 28 percent;

I.

partial amputation of foot, Chopart's type, 21 percent;

J.

midmetatarsal amputation, 14 percent;

K.

amputation of all toes at metatarsophalangeal joints, 8 percent;

L.

amputation of great toe:

(1)

with resection of metatarsal bone, 8 percent;

(2)

at metatarsophalangeal joint, 5 percent;

(3)

at interphalangeal joint, 4 percent;

M.

amputation of lesser toe, 2nd-5th:

(1)

with resection of metatarsal bone, 2 percent;

(2)

at metatarsophalangeal joint, 1 percent;

(3)

at proximal interphalangeal joint, 0 percent;

(4)

at distal interphalangeal joint, 0 percent.

Statutory Authority:

MS s 176.105

History:

10 SR 1124

Published Electronically:

August 16, 2010