Guidelines for Evaluation of Permanent Physical Impairment in Amputees In Motor Accidents claims cases: Basic Guidelines:

Guidelines for Evaluation of Permanent Physical

Impairment in Amputees In Motor Accidents claims cases:

Basic Guidelines:

In case of multiple amputees, if the total sum of percentage

permanent physical impairment is above 100%, it should be

taken as 100%.

2. Amputation at any level with uncorrectable inability to wear

and use prosthesis, should be given 100% permanent physical

impairment.

3. In case of amputation in more than one limb percentage of

each limb is counted and another 10% will be added, but when

only toes or fingers are involved only another 5% will be added.

4. Any complication in form of stiffness, neuroma, infection etc.

has to be given a total of 10% additional weightage.

5. Dominant upper limb has been given 4% extra percentage.

Upper Limb Amputation:Sr.

No Particulars of Amputation Permanent Partial

Impairment, in%

1 Forequarter

100

2 Shoulder Disarticulation 90

3 Above Elbow upto upper 1/3 of arm 85

4 Above Elbow upto lower 1/3 of arm 80

5 Elbow Disarticulation 75

6 Below Elbow upto upper 1/3 of forearm 70

7 Below Elbow upto lower 1/3 of forearm 65

8 Wrist Disarticulation 60

9 Hand through carpal bones 55

10 Thumb through C.M. or through 1st M.C.Joint 30

11 Thumb Disarticulation through

metacarpophalangeal joint or through

proximal phalanx 25

12 Thumb Disarticulation through inter

phalangeal joint or through distal phalanx 15

Amputation of Finger:

Particulars IIndex Finger

Middle Finger

Ring Finger

Little Finger

Amputation through proximal phalanx or disarticulation

through MP joint 115.00% 5.00% 3.00% 2.00%

Amputation through middle phalanx or disarticulation

through PIP joint 110.00% 4.00% 2.00% 1.00%

Amputation through distal phalanx or disarticulation

through DIP joint 55.00% 2.00% 1.00% 1.00%

Lower Limb Amputations:1.

Hind quarter 100%

2. Hip disarticulation 90%

3. Above knee upto upper 1/3 of thigh 85%

4. Above knee upto lower 1/3 of thigh 80%

5. Through keen 75%

6. B.K. upto 8 cm 70%

7. B.K. upto lower 1/3 of leg 60%

8. Through ankle 55%

9. Syme's 50%

10. Upto midfoot 40%

11. Upto forefoot 30%

12. All toes 20%

13. Loss of first toe 10%

14. Loss of second toe 5%

15. Loss of third toe 4%

16. Loss of fourth toe 3%

17. Loss of fifth toe 2%