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.