Hip stiffness or immobility (ankylosis)

Medical records that document the degree and direction of hip fixation are central to a rating under this code. A VA or private orthopedic examination should record the exact angle of flexion, and whether there is any adduction or abduction, so VA can determine whether the ankylosis is favorable or unfavorable. Imaging such as X-rays can confirm that the joint is fused or immobile.

For the 90% level, records showing that your foot does not reach the ground and that you permanently require crutches are key. Prescription records, physical therapy notes, or physician statements confirming crutch use support this. For any level, statements from you or people who know you describing how the fixed hip position affects walking, standing, working, or daily activities can help VA understand the practical impact of the condition. An examination report that clearly states whether the ankylosis is favorable or unfavorable directly ties to the rating criteria.