Nonunion of Tibia and Fibula

DC 5262Musculoskeletal38 CFR 4.71a, DC 5262

A fracture of the tibia (shinbone) and/or fibula that has failed to heal properly, resulting in impaired function of the lower leg. The VA rates this condition based on the degree of knee or ankle disability and whether loose motion or a brace is required.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 5262

Rating range

10% – 40%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5262. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have nonunion of the tibia and fibula with loose motion, requiring a brace. The fracture has failed to heal, resulting in instability at the fracture site that necessitates bracing for weight-bearing.

What the VA looks for

Imaging confirming nonunion of tibia and fibula
Loose motion at fracture site on examination
Brace required for weight-bearing and ambulation
Significant functional impairment documented

Common Pitfalls

⚠Not documenting both knee and ankle disability resulting from the tibia/fibula impairment — the rating considers the downstream joint effects.
⚠Not obtaining current imaging to demonstrate the nonunion or malunion — old X-rays may not reflect the current state of healing.
⚠Not reporting the need for a brace or assistive device — brace requirement is specifically listed in the criteria for the 40% rating.
⚠Failing to document how the condition affects gait and daily activities — functional impairment drives the severity determination.

Related DBQ Forms

DBQ Knee and Lower Leg Conditions
DBQ Ankle Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

How the VA rates this condition

Diagnostic code

DC 5262

Rating range

10% – 40%

Rating levels

Rating Levels

What the VA looks for

Imaging confirming nonunion of tibia and fibula
Loose motion at fracture site on examination
Brace required for weight-bearing and ambulation
Significant functional impairment documented

Common Pitfalls

⚠Not documenting both knee and ankle disability resulting from the tibia/fibula impairment — the rating considers the downstream joint effects.

⚠Not obtaining current imaging to demonstrate the nonunion or malunion — old X-rays may not reflect the current state of healing.

⚠Not reporting the need for a brace or assistive device — brace requirement is specifically listed in the criteria for the 40% rating.

⚠Failing to document how the condition affects gait and daily activities — functional impairment drives the severity determination.