The contents are clean as it has not been read. The cover may have some bending or scratches due to amateur storage. Please refrain from purchasing if you are sensitive to these issues. This book was just released in September. "Video Learning: Latest Techniques for TKA/UKA Implants & Robots to Improve Patient Satisfaction" Osamu Nishiike / Osamu Nishiike / Ayano Kuwazawa / Ayano Kuwazawa Price: 14500 yen + tax #OsamuNishiike #OsamuNishiike #AyanoKuwazawa #AyanoKuwazawa #book #nature/medical_science/health