Diagnostic Code 5274 · 38 CFR §4.71a
Astragalectomy is the surgical removal of the talus bone, which sits between the ankle bones and the heel bone. The talus is critical for transferring weight from the leg to the foot. Removal is typically a last resort after severe fractures, avascular necrosis where the bone lost its blood supply, or infection. Without the talus, the ankle and foot mechanics are fundamentally altered, and the foot sits lower than normal. Veterans who undergo this procedure usually had severe traumatic injuries to the ankle or foot during service.
| Rating | Criteria |
|---|---|
| 20% |
Surgical records documenting the talus removal, Post-operative imaging confirming the bone is absent, Functional assessment of ankle and foot mechanics after the procedure, Records of any assistive devices or orthotic footwear needed, Statements describing limitations in walking and standing