Div 11Lower limb injuries other than items 120 to 127 and 132 to 149

Division 11—Lower limb injuries other than items 120 to 127 and 132 to 149 Extreme lower limb injury, other than an injury mentioned in items 120 to 127 and 132 to 149

These are the most severe injuries short of amputation; leaving the injured person little better off than if the whole leg had been lost.

•	Extensive degloving of the lower limb
•	An injury causing gross shortening of the lower limb
•	A fracture that has not united despite extensive bone grafting
•	Serious neurovascular injury
•	A lower limb injury causing whole person impairment of 40%

Serious lower limb injury, other than an injury mentioned in items 120 to 127 and 132 to 149

•	Removal of extensive muscle tissue and extensive scarring may have a significant enough impact to fall within this item
•	An injury to multiple joints or ligaments causing instability, prolonged treatment and a long period of non‑weight‑bearing may have a significant enough impact to fall within this item, but generally only if those results are combined.

Multiple complex fractures of the lower limb that are expected to take years to heal and cause serious deformity and serious limitation of mobility

•	An ISV at or near the bottom of the range will be appropriate if there is whole person impairment for the injury of 16%
•	An ISV at or near the top of the range will be appropriate if there is whole person impairment for the injury of 25%.

Moderate lower limb injury, other than an injury mentioned in items 120 to 127 and 132 to 149

•	A fracture causing impairment of associated soft tissues, including nerves and blood vessels
•	A fracture with delayed union or infection
•	Multiple fractures of the femur, tibia or fibula, or multiple fractures of any combination of the femur, tibia and fibula

•	Period of non‑weight‑bearing
•	Presence or risk of degenerative change
•	Imperfect union of a fracture
•	Muscle wasting
•	Limited joint movement
•	Unsightly scarring
•	Permanently increased vulnerability to future damage

An ISV at or near the top of the range will be applicable if there is a deep vein thrombosis requiring treatment for life; or if there is whole person impairment for the injury of 15%. An ISV at or near the bottom of the range will be applicable if there is whole person impairment for the injury of 10%.

Minor lower limb injury, other than an injury mentioned in items 120 to 127 and 132 to 149

An uncomplicated fracture of the femur, tibia or fibula, from which the injured person has fully recovered

•	An ISV at or near the bottom of the range will be appropriate if there is a deep vein thrombosis requiring treatment for less than 6 months, from which the injured person will fully recover
•	An ISV at or near the bottom of the range will also be appropriate if—
(a)	there are soft tissue injuries, lacerations, cuts, bruising or contusions, from which the injured person will fully or almost fully recover; and
(b)	any residual disability will be minor.
•	An ISV at or near the top of the range will be appropriate if there is a deep vein thrombosis requiring treatment for at least 1 year
•	An ISV at or near the top of the range will also be appropriate if the injured person is left with impaired mobility or a defective gait
•	An ISV at or near the top of the range will also be appropriate if there is whole person impairment for the injury of 9%.