Secondary Condition Claim · VASRD 5252
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Limitation of Flexion of the Thigh (Hip) when it develops after Knee, Ankylosis.
Altered gait
Primary condition · VASRD 5256
Knee, Ankylosis
Knee is stiff or frozen in one position due to injury, arthritis, or surgery.
Secondary condition · VASRD 5252
Limitation of Flexion of the Thigh (Hip)
Hip flexion limitation makes it difficult to walk, sit, squat, or bend at the waist.
The VA rates Limitation of Flexion of the Thigh (Hip) the same way whether it's claimed directly or as secondary to Knee, Ankylosis — severity of Limitation of Flexion of the Thigh (Hip) itself determines the percentage.
Example combined rating
40% Knee, Ankylosis + 10% Limitation of Flexion of the Thigh (Hip) = 46%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 10% combine to 46%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Knee, Ankylosis guide
Secondary condition
Full Limitation of Flexion of the Thigh (Hip) guide
See how Knee, Ankylosis and Limitation of Flexion of the Thigh (Hip) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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