Can I Apply for Disability with Severe Tibial Fracture After a Fall? - Orthopedics

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Hello doctor, I fell from a height while working in January, resulting in a closed fracture with displacement of the right tibial plateau.
The surgeon emphasized that my bone was severely fragmented.
To this day, I cannot fully extend my knee like my left leg.
When I consulted my attending physician, he mentioned that I had also injured my ligaments and that I would not be able to return to my previous condition.
I am currently using crutches to walk.
Given my situation, would it be appropriate for me to apply for disability status?

Mianyang, 40~49 year old female. Ask Date: 2023/05/24

Dr. Shi Guozheng reply Orthopedics


To apply for disability benefits, you must undergo a functional assessment by a physician, and your results must fall below a certain threshold to qualify.

Reply Date: 2023/05/24

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Based on your description of a severe tibial fracture resulting from a fall, it seems that you are experiencing significant limitations in mobility and function due to the injury. The fact that you are unable to fully extend your knee and require the use of crutches indicates that your condition has had a substantial impact on your daily life.

In the United States, applying for disability benefits typically involves demonstrating that your medical condition severely limits your ability to perform basic work-related activities. The Social Security Administration (SSA) has specific criteria for evaluating disabilities, particularly for musculoskeletal disorders like fractures and joint issues. To qualify for disability benefits, you generally need to provide medical documentation that supports your claim, including:
1. Medical Records: Detailed records from your treating physician, including imaging studies (like X-rays or MRIs), surgical reports, and notes on your recovery process. These documents should clearly outline the nature of your injury, the treatments you have undergone, and the prognosis.

2. Functional Limitations: Evidence of how your injury affects your daily activities. This can include difficulty walking, standing, or performing tasks that require the use of your legs. The SSA will assess your ability to perform basic work activities, such as sitting, standing, walking, lifting, and carrying.

3. Residual Functional Capacity (RFC): An assessment of what you can still do despite your injury. This evaluation considers your physical limitations and how they affect your ability to work. If your RFC indicates that you cannot perform any substantial gainful activity, you may qualify for benefits.

4. Duration of Impairment: The SSA typically requires that your condition be expected to last at least 12 months. If your knee extension and mobility issues are chronic and unlikely to improve significantly, this could support your application.

5. Consultation with Specialists: If you have seen orthopedic specialists or physical therapists, their evaluations and recommendations can also strengthen your case. They may provide insights into your long-term prognosis and functional limitations.

Given your situation, it would be advisable to consult with a disability attorney or advocate who can guide you through the application process. They can help ensure that you gather the necessary documentation and present your case effectively.

In addition to the disability application, consider engaging in rehabilitation services if you haven't already. Physical therapy can be beneficial in improving your knee function and overall mobility, which may also positively impact your disability claim by demonstrating your efforts to recover.

Lastly, keep in mind that the process of applying for disability can be lengthy and may require persistence. Many initial claims are denied, but you have the right to appeal the decision. Being well-prepared with comprehensive medical documentation and a clear understanding of your limitations will be crucial in navigating this process successfully.

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