Sixty-two year old heavy equipment operator injured both knees.  He required multiple surgeries including a total knee replacement on one knee.  The diagnosis included significant post-traumatic disease.  He was paid specific award benefits for a 22% rating on one knee and a 15% rating to the other.  We had been claiming entitlement to additional specific award benefits based upon increases in permanent partial impairment and entitlement to 31-308a benefits.  The settlement includes a Medicare Set Aside Trust approved by CMS in the amount of approximately $61,000.00.