How Much Compensation for a Knee Injury at Work

BY STEVEN SCHWARTZAPFEL

A knee injury at work can mean surgery, months of physical therapy, and a permanent change in what you are physically able to do. The compensation you receive depends on the type of injury, the severity of the impairment, how the injury affects your ability to work, and whether anyone other than your employer contributed to it. There is no single dollar figure that applies to every case. But the framework that determines the amount is specific, and understanding it is the first step to knowing what your case is worth.

A knee injury sustained at work triggers workers’ compensation benefits: medical care for the injury and wage replacement while you are unable to work. The medical benefits cover everything related to the knee — emergency treatment, diagnostic imaging, surgery, physical therapy, prescription medication, assistive devices like braces or crutches, and transportation to medical appointments. There is no dollar cap on medical benefits and no durational limit.

The wage replacement benefit is two-thirds of your average weekly wage, up to the statutory maximum of $1,222.42 per week for injuries on or after July 1, 2025. If you cannot work at all, you receive Temporary Total Disability benefits. If you can work in a reduced capacity, you receive Temporary Partial Disability benefits calculated as two-thirds of the difference between your pre-injury wages and your current earning capacity.

These benefits continue for as long as the disability persists. But they are only the starting point. The total compensation for a knee injury depends on what happens after the initial recovery — specifically, whether the injury results in permanent impairment.

The Schedule Loss of Use Award for a knee injury

The knee is part of the leg on the statutory schedule. A permanent loss of use of the leg is valued at 288 weeks. If your knee injury results in permanent impairment — reduced range of motion, instability, chronic pain that limits function, or the effects of a total knee replacement — you may be entitled to a Schedule Loss of Use Award based on the percentage of loss of use of the leg.

The percentage is determined by your treating physician after you reach Maximum Medical Improvement. If the physician assesses a 30% loss of use of the leg, the award is 30% of 288 weeks, or 86.4 weeks, multiplied by your weekly benefit rate. At a benefit rate of $600 per week, that is $51,840. At the statutory maximum of $1,222.42, that is $105,617.09.

The Schedule Award is separate from your temporary disability benefits and separate from your medical care. It is additional compensation for the permanent physical loss. And it is available even if you have returned to work. But it is not automatic — you must request it. If you do not request it, you will not receive it.

What affects the percentage of loss of use

The percentage of loss of use is a medical determination based on your functional limitations after MMI. For a knee, the evaluation typically includes range of motion testing (flexion and extension), stability testing, strength assessment, gait analysis, and the presence of ongoing pain or swelling that limits function.

A worker who had a meniscus tear repaired orthroscopically and recovered most of their range of motion may have a relatively low percentage — perhaps 10% to 20% loss of use. A worker who required a total knee replacement and has permanent restrictions on squatting, kneeling, climbing, and heavy lifting may have a much higher percentage — 40% to 60% or more. A worker with a severe multi-ligament reconstruction that left the knee permanently unstable may be assessed even higher.

The insurance carrier will have its own physician — typically the IME doctor — evaluate the same impairment. The carrier’s percentage is frequently lower than the treating physician’s assessment. The difference is resolved at a hearing before a Workers’ Compensation Law Judge, who weighs the medical evidence from both sides. A treating physician who has documented the impairment with specific, measurable findings gives the judge a stronger foundation than one who provides a percentage without detailed support.

Knee injuries that require total knee replacement

A total knee replacement resulting from a work-related injury is one of the most significant knee injury cases in workers’ compensation. The surgery itself is covered under medical benefits. The recovery period — typically three to six months before returning to any work, and up to a year for full recovery — is covered by temporary disability benefits.

After a total knee replacement, the worker almost always has permanent restrictions. Kneeling on the replaced knee is usually prohibited. Squatting, climbing ladders, working on uneven surfaces, and heavy lifting may all be restricted. For a construction laborer, a warehouse worker, or anyone whose job requires physical demands on the knees, these restrictions may prevent a return to the prior occupation.

The Schedule Loss of Use Award after a total knee replacement reflects these permanent limitations. The percentage is typically substantial. Combined with the temporary disability benefits received during recovery and the ongoing medical care, the total compensation for a work-related knee injury requiring a total knee replacement can be significant.

When a third-party claim increases the recovery

If someone other than your employer caused or contributed to the knee injury, a third-party lawsuit can provide compensation that workers’ compensation does not — full lost wages (past and future), pain and suffering, and loss of enjoyment of life. Workers’ compensation provides no pain and suffering compensation. For a serious knee injury that requires surgery and leaves permanent limitations, the pain and suffering component of a third-party claim can be substantial.

Common third-party scenarios for knee injuries include construction site falls caused by unsafe conditions maintained by the property owner or general contractor, motor vehicle accidents while working, and injuries caused by defective equipment. On a construction site, a fall from a ladder or scaffold that injures the knee may give rise to a claim under Labor Law Section 240, which imposes absolute liability on the property owner.

The third-party claim proceeds alongside your workers’ compensation case. You collect both. But the workers’ compensation carrier has a lien on the third-party recovery for the benefits it paid, and a credit against future benefits may apply. These interactions must be managed carefully to maximize the net recovery.

What the total compensation looks like

The total compensation for a work-related knee injury is not a single number. It is the sum of multiple components: temporary disability benefits during recovery, medical care for the life of the claim, a Schedule Loss of Use Award if the impairment is permanent, and potentially a third-party settlement or verdict if someone other than the employer was at fault.

A meniscus tear with arthroscopic repair, a few months of recovery, and a 15% loss of use of the leg might produce a total recovery in the range of temporary benefits plus a Schedule Award of $25,000 to $50,000 depending on the wage rate. A total knee replacement with a 50% loss of use, six months of temporary disability, and a third-party claim against the property owner might produce a total recovery that is many times larger. Every case is different because every injury is different.

Do not accept a number from anyone — the carrier, a co-worker, the internet — as the value of your case without understanding the specific components that apply to your situation.

How Schwartzapfel Holbrook evaluates knee injury cases

At Schwartzapfel Holbrook, we evaluate every work-related knee injury for the full range of compensation: temporary disability benefits, medical care, Schedule Loss of Use based on the treating physician’s independent clinical findings, and any third-party claims that may exist.

The total value of a knee injury case depends on medical evidence, not guesswork.

Schwartzapfel Holbrook / Fighting For You