Damage or dysfunction of the femur, the long bone of the thigh.
To support an 80% rating for nonunion with loose motion, medical records and imaging — such as X-rays or CT scans — showing failure of the fracture to heal, along with clinical exam findings documenting abnormal or loose movement at the fracture site, would be relevant. A physician's description of the spiral or oblique fracture pattern can also help establish this level.
For a 60% rating based on nonunion without loose motion, records showing the fracture did not heal but that the bone remains stable, combined with documentation that you require a brace to bear weight, are central. Prescriptions or fitting records for a brace, and notes from your treating provider confirming weight-bearing limitations, directly support this criterion. For the 60% false-joint rating, imaging and clinical notes confirming a false joint at the surgical neck are the key findings.
If your femur healed with malunion, the supporting evidence shifts to whichever knee or hip condition is being evaluated, such as range-of-motion measurements, X-ray findings, or documentation of pain and functional loss in those joints.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
