Evidence Checklist: Total Knee Replacement (Arthroplasty)
DC 5055
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Nexus opinion linking total knee replacement to service-connected condition ("at least as likely as not")Critical
A medical opinion connecting the underlying condition requiring knee replacement to military service. The replacement itself is rated at 100% for one year post-surgery, then rated on residual ROM and symptoms.
Post-operative knee range of motion measurements (after 1-year minimum rating period)Critical
Current orthopedic examination documenting knee flexion and extension in degrees after the minimum 1-year 100% rating period expires. The ongoing rating will be based on residual limitation of motion.
Treating Physician
Functional assessment (stairs, ambulation distance, assistive devices)
Records documenting functional capacity including ability to climb stairs, walking distance before pain, need for cane or walker, and daily activity limitations.
Treatment Records
Surgical records from total knee replacementCritical
Operative reports from the total knee arthroplasty, including the reason for surgery (osteoarthritis, post-traumatic arthritis), implant type, and any intraoperative findings.
Documentation of post-operative complications or chronic symptoms
Records of chronic pain, stiffness, periprosthetic issues, revision surgeries, hardware failure, or persistent functional limitations that may support continued high-level ratings.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Knee and Lower Leg ConditionsCritical
Standardized form capturing knee range of motion, post-surgical status, and functional limitations after total knee replacement.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.