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I have to say the VA is one messed up system I say that because I'm having more issues with my 2nd total knee replacement on the same knee service connected than I did with my first. I had the knee replacement on June 4th 2018 and now my claim has been moved to 02/25/2019 to 12/01/2019 that would mean a large sum of retro back pay for the 100% temp. the claim is still under review of evidence what more can you send, and the providers did their part sending in the very same information I sent in so now my claim on e benefits: Disabilities Claimed: total knee arthroplasty (Secondary), knee replacement (Secondary), Temporary Total Disability (New).