Secondary Condition Claim · VASRD 5033
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 Malunion of Femur or Tibia when it develops after Knee, Ankylosis.
Muscle imbalance
Primary condition · VASRD 5256
Knee, Ankylosis
Knee is stiff or frozen in one position due to injury, arthritis, or surgery.
Secondary condition · VASRD 5033
Malunion of Femur or Tibia
A fracture of the thigh or shin bone that healed incorrectly, impacting knee or ankle use.
The VA rates Malunion of Femur or Tibia the same way whether it's claimed directly or as secondary to Knee, Ankylosis — severity of Malunion of Femur or Tibia itself determines the percentage.
Example combined rating
40% Knee, Ankylosis + 20% Malunion of Femur or Tibia = 52%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 20% combine to 52%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Knee, Ankylosis guide
Secondary condition
Full Malunion of Femur or Tibia guide
See how Knee, Ankylosis and Malunion of Femur or Tibia combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
Open the calculator