Secondary Condition Claim · VASRD 5031
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 Bone Fracture when it develops after Osteitis Fibrosa.
Weakened bone structure leads to higher fracture risk
Primary condition · VASRD 5029
Osteitis Fibrosa
Bone softening and resorption due to hormone imbalance, often with kidney issues.
Secondary condition · VASRD 5031
Malunion of Bone Fracture
A fracture that healed incorrectly, leading to pain, deformity, or impaired function.
The VA rates Malunion of Bone Fracture the same way whether it's claimed directly or as secondary to Osteitis Fibrosa — severity of Malunion of Bone Fracture itself determines the percentage.
Example combined rating
10% Osteitis Fibrosa + 10% Malunion of Bone Fracture = 19%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 10% combine to 19%, not 20%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Osteitis Fibrosa guide
Secondary condition
Full Malunion of Bone Fracture guide
See how Osteitis Fibrosa and Malunion of Bone Fracture combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
Open the calculator