Mobi c - What is Mobi-C. Mobi-C is the first cervical disc in the U.S. approved to treat more than one level of the cervical spine. It received FDA approval for one and two-level indications in August 2013. Mobi-C demonstrated statistical superiority compared to cervical spine fusion in overall study success when used in two-level patients at 5 years.

 
Dec 1, 2022 · Page 1 of 7 Last Updated 01-DECEMBER-2022 . Zimmer Biomet Patent Marking . This information is provided as notice of patented articles pursuant to 35 U.S.C. § 287(a). . 800 242 9113

Return to Mobi-C Homepage If unsure about the answers to these questions, please consult with your doctor about your condition. This is for educational purposes only and is not meant to replace a conversation with and examination by a qualified physician.Return to Mobi-C Homepage If unsure about the answers to these questions, please consult with your doctor about your condition. This is for educational purposes only and is not meant to replace a conversation with and examination by a qualified physician.Restoring natural motion to the cervical spine. The controlled mobility of the patented mobile core is the foundation of Mobi-C. With vertebrae and neck muscle movement, the Mobi-C implant is free to twist and slide left-to-right, and front-to-back, as well as rotate. Feb 27, 2020 · Zimmer Biomet Spine has announced that more than 150,000 Mobi-C Cervical Discs have been implanted worldwide. Zimmer Biomet holds a commanding position in the $200 million global cervical disc market, according to the company. The Mobi-C device represents an optimal solution with statistical superiority to two-level fusion at seven years. About Mobi-C. What is the Mobi-C Cervical Disc? How does Mobi-C Compare to Fusion? Who Should Receive a Mobi-C? Complications & Precautions; What are the 10 year clinical results? Insurance Coverage; Real Experiences; Am I a Candidate? Surgeon Locator; Contact; I am a Surgeon. Clinical Results; Surgeon Testimonials; Press Kit; Insurance ...May 01, 2019. SAN DIEGO — Improvements were sustained at 10 years for patients treated with the Mobi-C cervical disc in the trial that led to its approval by the US Food and Drug Administration ...In 2015, FDA approved an update to the Mobi-C labeling to include five year clinical results. Of note, Mobi-C demonstrated superiority at all time points to five years on overall trial success as compared to two-level ACDF. The Mobi-C consists of two cobalt chromium (CoCr) endplates that are plasma sprayed with titaniumThe Mobi-C Cervical Disc is one of the most widely used cervical discs in the world. First implanted in France in November 2004, Mobi-C has now been implanted in more than 75,000 spinal levels in 25 countries. Mobi-C is intended for adult patients (skeletally mature) with arm pain and/or neurological symptoms (such as weakness or numbness) with ...J Neurosurg Spine. 2014;21(4):516-28., 3 Hisey MS, Zigler JE, Jackson R, et al. Prospective, Randomized Comparison of One-level Mobi-C Cervical Total Disc Replacement vs. Anterior Cervical Discectomy and Fusion: Results at 5-year Follow-up. Int J Spine Surg. 2016;10:10.The Mobi-C Cervical Disc is one of the most widely used cervical discs in the world. First implanted in France in November 2004, Mobi-C has now been implanted in more than 75,000 spinal levels in 25 countries. Mobi-C is intended for adult patients (skeletally mature) with arm pain and/or neurological symptoms (such as weakness or numbness) with ...• A single Mobi-C prosthesis costs £1,750 (excluding VAT). Two Mobi-C devices are needed for 2-level cervical disc replacement. • A US cost-effectiveness analysis found that the average cost per patient in the 5 years after surgery was $23,459 (about £16,515) for Mobi-C, and $21,772 (about £16,031) for ACDF.Return to Mobi-C Homepage If unsure about the answers to these questions, please consult with your doctor about your condition. This is for educational purposes only and is not meant to replace a conversation with and examination by a qualified physician. An artificial disc like Mobi-C is an option instead of a fusion that will also be placed inside the disc space to restore height and remove pressure on the pinched nerves. However, the Mobi-C device is designed to allow the neck to maintain normal motion and potentially prevent the adjacent levels from degenerating, possibly preventing future ... Zip. Institution. Map. Details. Email These Surgeons to Me. Zimmer Biomet is pleased to provide the Surgeon Locator to allow you to find surgeons who have been trained on Mobi-C. This locator may not be a complete list of trained surgeons in your area, and Zimmer Biomet does not make any recommendation or referral regarding the proper facility ... Mobi-C – How it Works. Mobi-C contains patented mobile bearing technology that allows the polyethylene core to slide and rotate inside the disc for self-adjustment to the cervical spine movements. This means that Mobi-C can react to the normal motion in the cervical spine.Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels.May 01, 2019. SAN DIEGO — Improvements were sustained at 10 years for patients treated with the Mobi-C cervical disc in the trial that led to its approval by the US Food and Drug Administration ...J Neurosurg Spine. 2014;21(4):516-28., 3 Hisey MS, Zigler JE, Jackson R, et al. Prospective, Randomized Comparison of One-level Mobi-C Cervical Total Disc Replacement vs. Anterior Cervical Discectomy and Fusion: Results at 5-year Follow-up. Int J Spine Surg. 2016;10:10.the mobi-c® cervical disc prosthesis is implanted using an anterior approach. patients should have failed at least 6 weeks of conservative treatment or demonstrated progressive signs or symptoms despite nonoperative treatment prior to implantation of the mobic® cervical disc prosthesis. approval order: approval order: summaryMobi-C Cervical Disc is an FDA approved artificial cervical disc for one and two level disc replacement and helps those with degenerative disc disease maintain neck mobility. Unlike fusion procedures, Mobi-C implants fits entirely within the disc space and attempts to maintain neck movement. Mobi-C Cervical Disc is an FDA approved artificial cervical disc for one and two level disc replacement and helps those with degenerative disc disease maintain neck mobility. Unlike fusion procedures, Mobi-C implants fits entirely within the disc space and attempts to maintain neck movement.The Mobi-C Cervical Disc is one of the most widely used cervical discs in the world. First implanted in France in November 2004, Mobi-C has now been implanted in more than 75,000 spinal levels in 25 countries. Mobi-C is intended for adult patients (skeletally mature) with arm pain and/or neurological symptoms (such as weakness or numbness) with ...Nov 17, 2016 · The Mobi-C Cervical Disc (Zimmer Biomet, Warsaw, IN—formerly LDR Spine, Austin, TX) is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is indicated for reconstruction of the disc from C3-C7 following discectomy at one level or two contiguous levels for intractable radiculopathy in patients ages 21 to 67 years.² As a potential candidate for cervical disc replacement, ZimVie offers the Mobi-C Reimbursement Services Program. This service is intended to help establish coverage with commercial insurers who are not currently covering Mobi-C for one or two levels. Contact the ZimVie Mobi-C reimbursement hotline 877-331-0062 and [email protected] for assistance.Jul 31, 2020 · The replacement Mobi-C device has not failed to date, unlike the first Mobi-C device, which failed 1 week postoperatively in this same patient. This result likely rules out patient factors as the underlying cause of failure and may speak to the increased need to have a very precise surgical technique to prevent anterior slippage of the endplate ... Mobi-C is a safe and effective surgical option at one-level in the cervical spine from C3-C7 for indicated patients. The controlled mobility of the Mobi-C’s mobile insert, according to the company's website for Chinese surgeons, encourages restoration and respect of the instantaneous axis of rotation for a return to physiological mobility of ...Mobi C vs Prodisc C Removal. I read an article you wrote where you commented on having successfully removed Pro-Disc C from an anterior approach without too much difficulty. Have you had the same success removing Mobi-c? Sadly I have both and the Mobi-c has been a nightmare, while the Prodisc C is holding up.An artificial disc like Mobi-C is an option instead of a fusion that will also be placed inside the disc space to restore height and remove pressure on the pinched nerves. However, the Mobi-C device is designed to allow the neck to maintain normal motion and potentially prevent the adjacent levels from degenerating, possibly preventing future ... Apr 3, 2023 · Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels. Mobi-C implant surgery is a safe alternative to ACDF surgery in cervical disc degeneration. Cite this article: Bone Joint J 2016;98-B:829-3. Effectiveness and safety of Mobi-C for treatment of single-level cervical disc spondylosis: a randomised control trial with a minimum of five years of follow-upJan 30, 2023 · Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels. The Mobi-C is composed of three parts—two metal plates that sandwich a plastic insert. While other artificial discs require neurosurgeons to chisel bone and drill screws to hold the device in place, the Mobi-C has teeth on the top and bottom to secure the plates to the vertebrae on either side.Only 1 study analyzed outcomes of 1-level versus 2-level Mobi-C CDA, and only 1 study analyzed 2-level Mobi-C CDA versus 2-level ACDF. In comparison with other cervical disc prostheses, the Mobi-C prosthesis is associated with higher rates of heterotopic ossification (HO). Studies with conflicts of interest reported lower rates of HO.The Mobi-C ® Cervical Disc Prosthesis is indicated in skeletally mature patients for reconstruction of the disc from C3-C7 following discectomy at one level or two contiguous levels for intractable radiculopathy (arm pain and/or a neurological deficit) with or without neck pain, or myelopathy due to abnormality localized to the level of the disc space and at least one of the following ...詳細. 移動式インサートの可動性を制御することは、Mobi-C® ディスクプロテーゼの基礎です。. この第 2 世代の人工椎間板は、脊髄関節形成術を専門とする外科医のチームによって設計されました。. Mobi-Cはユニークで信頼性が高く、特許取得済みの移植 ...The objective is to report a case of an early dislocation of Mobi-C prosthesis used for the replacement of C4–C5 disc. A 57-year-old man who was operated 17 years before for C6–C7 fusion complained of cervicalgia associated with bilateral but predominantly right-sided brachialgia. Magnetic resonance imaging demonstrated central and ...The Mobi-C Cervical Disc has been designed for cervical disc replacement to restore segmental motion and disc height. TrellOss ®- C Porous Ti Interbody System TrellOss-C is an additively manufactured spacer for implantation up to two levels in the cervical spine. Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels.In a surgery with the Mobi-C Cervical Disc, the unhealthy disc is removed, but instead of a bone spacer or plastic implant along with a plate and screws, a Mobi-C is implanted into the disc space. Where a fusion procedure is intended to eliminate motion at the surgery levels, the goal of a surgery with Mobi-C is to allow motion at those levels.Only 1 study analyzed outcomes of 1-level versus 2-level Mobi-C CDA, and only 1 study analyzed 2-level Mobi-C CDA versus 2-level ACDF. In comparison with other cervical disc prostheses, the Mobi-C prosthesis is associated with higher rates of heterotopic ossification (HO). Studies with conflicts of interest reported lower rates of HO.Aug 28, 2020 · The objective is to report a case of an early dislocation of Mobi-C prosthesis used for the replacement of C4–C5 disc. A 57-year-old man who was operated 17 years before for C6–C7 fusion complained of cervicalgia associated with bilateral but predominantly right-sided brachialgia. Magnetic resonance imaging demonstrated central and ... Mobi-C is a great option, arguably the best option in the correct patient. The main benefit of a Mobi-C is that you adjacent levels are less likely to break down and cause issues due to the fact that the natural range of motion is preserved. A disc replacement in the cervical spine is a great option for the correct pathology.Cervical disc replacement surgery is designed to replace a damaged spinal disc in the neck with an artificial disc implant. Damaged cervical discs are most likely to occur at the C4-C5, C5-C6, or C6-C7 levels.Page 1 of 7 Last Updated 01-DECEMBER-2022 . Zimmer Biomet Patent Marking . This information is provided as notice of patented articles pursuant to 35 U.S.C. § 287(a).In a surgery with the Mobi-C Cervical Disc, the unhealthy disc is removed, but instead of a bone spacer or plastic implant along with a plate and screws, a Mobi-C is implanted into the disc space. Where a fusion procedure is intended to eliminate motion at the surgery levels, the goal of a surgery with Mobi-C is to allow motion at those levels.Mobi-C – How it Works. Mobi-C contains patented mobile bearing technology that allows the polyethylene core to slide and rotate inside the disc for self-adjustment to the cervical spine movements. This means that Mobi-C can react to the normal motion in the cervical spine. Zimmer Biomet Spine has announced that over 150,000 Mobi-C Cervical Discs have been implanted worldwide. The implant, a cobalt chromium alloy and polyethylene mobile-bearing prosthesis, was first implanted in France in 2004 and was approved for sale in the U.S. by the FDA in 2013. Noting the bulwark of data on the device, James Cloar, President ...Mobi-C Had Lower Rates of Adjacent Segment Degeneration at 84 Months Mobi-C Had Fewer Subsequent Surgeries at 84 Months The ONE-LEVEL deterioration of adjacent segments at 84 months compared to baseline was: • 43.8% for Mobi-C compared to 63.0% for ACDF at the inferior level. • 40.4% for Mobi-C compared to 65.1% for ACDF May 18, 2023 · About this app. Mobile trade support system "Mobi-S" is a software package designed to automate the work of sales representatives. Automate order picking, wheel trading and collecting merchandising information. Easy integration with the main configurations of 1C Enterprise 8.2, 8.3 and 7.7. There is everything you need to collect applications ... What is Mobi-C. Mobi-C is the first cervical disc in the U.S. approved to treat more than one level of the cervical spine. It received FDA approval for one and two-level indications in August 2013. Mobi-C demonstrated statistical superiority compared to cervical spine fusion in overall study success when used in two-level patients at 5 years. Mobi-C Cervical Disc is an artificial disc that can replace a worn or degenerative disc. This surgery helps provide both lateral and vertical range of motion along with maintaining neck rotation. This differs from spinal fusion surgery when two of the vertebrae are fused together with hardware, which constricts the neck’s range of motion.Jan 31, 2023 · The Mobi-C Cervical Disc. ZimVie Inc. has marked a major milestone with its Mobi-C Cervical Disc, announcing that more than 200,000 discs have been implanted worldwide. The total includes patients treated in more than 25 countries since the first surgery in France 19 years ago. In 2013, Mobi-C became the first cervical disc to win approval from ... Figure 2. Degrees of Freedom of the Mobi-C® The inferior endplate includes two lateral stops that control and limit the translation and rotation of the mobile insert. The lateral stops also prevent the potential for migration of the mobile insert. Mobi-C® is designed to control the amount of translation by the mobile insert in the XIn a surgery with the Mobi-C Cervical Disc, the unhealthy disc is removed, but instead of a bone spacer or plastic implant along with a plate and screws, a Mobi-C is implanted into the disc space. Where a fusion procedure is intended to eliminate motion at the surgery levels, the goal of a surgery with Mobi-C is to allow motion at those levels.Zimmer Biomet Spine has announced that over 150,000 Mobi-C Cervical Discs have been implanted worldwide. The implant, a cobalt chromium alloy and polyethylene mobile-bearing prosthesis, was first implanted in France in 2004 and was approved for sale in the U.S. by the FDA in 2013. Noting the bulwark of data on the device, James Cloar, President ...Ethical standards: The Mobi-C Clinical Trial (ClinicalTrials.gov registration number: NCT00389597) was conducted at 24 sites in the US and was approved by the Institutional Review Board, Research Ethics Committee, or local equivalent of each participating site. Level of evidence: 1.Mar 28, 2018 · Mobi-C Cervical Disc Mobi-C is the first cervical disc prosthesis approved by the FDA for reconstruction of a cervical disc at both one and two levels (C3-C7). Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling to accommodate vertebral anchorage such as screws or keels. MOBI-C® prosthesis is a device for cervical intervertebral disc replacement (C3/C4, C4/C5, C5/C6, C6/C7) in order to restore segmental motion and disc height. Before any surgical procedure, read carefully the instructions and the surgical technique. Open the catalog to page 1. SURGICAL TECHNIQUE Pre-operative considerations Implant height ... As a potential candidate for cervical disc replacement, ZimVie offers the Mobi-C Reimbursement Services Program. This service is intended to help establish coverage with commercial insurers who are not currently covering Mobi-C for one or two levels. Contact the ZimVie Mobi-C reimbursement hotline 877-331-0062 and [email protected] for assistance.Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels.Results: There was no statistical significance in the difference of overall flexion range between M6-C and Mobi-C prostheses. However, overall range of extension of Mobi-C was greater compared to M6-C (P = 0.028). At C 5-6, the range of flexion for both implants were similar but lesser compared to asymptomatic patients (P < 0.001). Range of ... Return to Mobi-C Homepage If unsure about the answers to these questions, please consult with your doctor about your condition. This is for educational purposes only and is not meant to replace a conversation with and examination by a qualified physician.Restoring natural motion to the cervical spine. The controlled mobility of the patented mobile core is the foundation of Mobi-C. With vertebrae and neck muscle movement, the Mobi-C implant is free to twist and slide left-to-right, and front-to-back, as well as rotate. Jul 31, 2020 · The replacement Mobi-C device has not failed to date, unlike the first Mobi-C device, which failed 1 week postoperatively in this same patient. This result likely rules out patient factors as the underlying cause of failure and may speak to the increased need to have a very precise surgical technique to prevent anterior slippage of the endplate ... Mobi-C provides bone sparing fixation without chisel cuts into the small vertebral bodies of the cervical spine, making it safe for implantation at two levels. About Mobi-C Disc Replacement Mobi-C Disc Replacement is performed under general anesthesia, usually as an outpatient procedure. The Mobi-C Cervical Disc has been designed for cervical disc replacement to restore segmental motion and disc height. The components of Mobi-C include superior and inferior cobalt chromium molybdenum alloy endplates coated with plasma sprayed titanium and hydroxyapatite coating, and a polyethylene mobile bearing insert. What is Mobi-C. Mobi-C is the first cervical disc in the U.S. approved to treat more than one level of the cervical spine. It received FDA approval for one and two-level indications in August 2013. Mobi-C demonstrated statistical superiority compared to cervical spine fusion in overall study success when used in two-level patients at 5 years.MOBI-C® prosthesis is a device for cervical intervertebral disc replacement (C3/C4, C4/C5, C5/C6, C6/C7) in order to restore segmental motion and disc height. Before any surgical procedure, read carefully the instructions and the surgical technique. Open the catalog to page 1. SURGICAL TECHNIQUE Pre-operative considerations Implant height ...Only 1 study analyzed outcomes of 1-level versus 2-level Mobi-C CDA, and only 1 study analyzed 2-level Mobi-C CDA versus 2-level ACDF. In comparison with other cervical disc prostheses, the Mobi-C prosthesis is associated with higher rates of heterotopic ossification (HO). Studies with conflicts of interest reported lower rates of HO. Return to Mobi-C Homepage If unsure about the answers to these questions, please consult with your doctor about your condition. This is for educational purposes only and is not meant to replace a conversation with and examination by a qualified physician.Methods: This was a prospective study of patients treated with CDA at 1 or 2 contiguous levels using the Mobi-C® Cervical Disc (Zimmer Biomet). Following completion of the 7-yr Food and Drug Administration postapproval study, follow-up continued to 10 yr for consenting patients at 9 high-enrolling centers. Apr 1, 2019 · Product Usage: The device is intended as a cervical intervertebral disc replacement at one or two contiguous levels from C3 to C7 designed to maintain/restore segmental motion and disc height. MOBI-C distraction pins are inserted into the vertebral body below and above the disc that is to have the disc replacement. The Mobi-C disc is one of the most common options for replacement cervical discs around the world. The medical device was first used in 2004 and has continued to be used successfully in patients with cervical disc issues (that is, disc issues in the neck). Without a doubt, many people who have undergone a Mobi-C disc procedure have had ...Dec 1, 2022 · Page 1 of 7 Last Updated 01-DECEMBER-2022 . Zimmer Biomet Patent Marking . This information is provided as notice of patented articles pursuant to 35 U.S.C. § 287(a). The Mobi-C device was thought by the plaintiff to be flawed since it differed from the device that the Food and Drug Administration had approved, which affect the “safety and efficacy of the ...This is a surgical video of a cervical disc replacement with the Zimmer Biomet Mobi-C TDR for treatment of a large C5-6 extruded disc herniation resulting in...詳細. 移動式インサートの可動性を制御することは、Mobi-C® ディスクプロテーゼの基礎です。. この第 2 世代の人工椎間板は、脊髄関節形成術を専門とする外科医のチームによって設計されました。. Mobi-Cはユニークで信頼性が高く、特許取得済みの移植 ...The Mobi-C Cervical Disc has been designed for cervical disc replacement to restore segmental motion and disc height. The components of Mobi-C include superior and inferior cobalt chromium molybdenum alloy endplates coated with plasma sprayed titanium and hydroxyapatite coating, and a polyethylene mobile bearing insert.The primary objective of this study was to rigorously compare the Mobi-C cervical artificial disc to ACDF for treatment of cervical DDD at 2 contiguous levels of the cervical spine. Methods: This study was a prospective, randomized, US FDA investigational device exemption pivotal trial of the Mobi-C cervical artificial disc conducted at 24 ...

Had Mobi-C disc put in at C5-C6, however 1st surgery failed to remove bone spur sticking into my spinal cord. 2nd surgery took care of it. Recommend using Yelp or other online reviews of doctors .... Osrs how to charge pharaoh

mobi c

Page 1 of 7 Last Updated 01-DECEMBER-2022 . Zimmer Biomet Patent Marking . This information is provided as notice of patented articles pursuant to 35 U.S.C. § 287(a).Zip. Institution. Map. Details. Email These Surgeons to Me. Zimmer Biomet is pleased to provide the Surgeon Locator to allow you to find surgeons who have been trained on Mobi-C. This locator may not be a complete list of trained surgeons in your area, and Zimmer Biomet does not make any recommendation or referral regarding the proper facility ...Mobi-C is a great option, arguably the best option in the correct patient. The main benefit of a Mobi-C is that you adjacent levels are less likely to break down and cause issues due to the fact that the natural range of motion is preserved. A disc replacement in the cervical spine is a great option for the correct pathology.The Mobi-C Cervical Disc has been designed for cervical disc replacement to restore segmental motion and disc height. TrellOss ®- C Porous Ti Interbody System TrellOss-C is an additively manufactured spacer for implantation up to two levels in the cervical spine.Nov 28, 2017 · One limitation of this study was the specific inclusion and exclusion criteria for entry into the study. At the time of conception, the intention of the Mobi-C study was to enroll patients without significant conditions that could confound the outcome of an artificial disc. The Mobi-C Cervical Disc has been designed for cervical disc replacement to restore segmental motion and disc height. The components of Mobi-C include superior and inferior cobalt chromium molybdenum alloy endplates coated with plasma sprayed titanium and hydroxyapatite coating, and a polyethylene mobile bearing insert.The changes in clinical and radiological measures were comparable between M6-C and Mobi-C prostheses. Thirty-seven out of 52 spinal segments (71.2%) and 10 out of 16 spinal segments (62.5%) developed HO in M6-C and Mobi-C group respectively. There was no significant difference in the rate of HO between the two groups.• A single Mobi-C prosthesis costs £1,750 (excluding VAT). Two Mobi-C devices are needed for 2-level cervical disc replacement. • A US cost-effectiveness analysis found that the average cost per patient in the 5 years after surgery was $23,459 (about £16,515) for Mobi-C, and $21,772 (about £16,031) for ACDF.The Mobi-C® Cervical Disc is indicated in skeletally mature patients for reconstruction of the disc from C3-C7 following discectomy at one level or two contiguous levels for intractable radiculopathy (arm pain and/or a neurological deficit) with or without neck pain,Apr 28, 2016 · Mobi-C® Cervical Disc is the first and only neck surgery prosthesis approved for reconstruction of the disc(s) from C3-C7 following discectomy at one or two ... Jan 30, 2023 · Mobi-C is a cobalt chromium alloy and polyethylene mobile-bearing prosthesis that is inserted in a single step, without requiring bone chiseling or other vertebral anchorage such as screws or keels. Had Mobi-C disc put in at C5-C6, however 1st surgery failed to remove bone spur sticking into my spinal cord. 2nd surgery took care of it. Recommend using Yelp or other online reviews of doctors ....

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