2nd and 3rd generation full endoscopic lumbar spine surgery: clinical safety and learning curve.

Aim: 2nd and 3rd generation endoscopic spine surgery techniques offer visualisation of familiar inter-laminar anatomy to spinal surgeons. We have prospectively evaluated the clinical outcome, complications and learning curve associated with these techniques in patients with lumbar spine radiculopathy.

Methods: This is a prospective study of 50 consecutive patients with radicular pain from disc herniation and/or lateral recess stenosis.

Effect of COVID-19 on a rural orthopaedic hip fracture service.

Aims: Our rural orthopaedic service has undergone service restructure during the COVID-19 pandemic in order to sustain hip fracture care. All adult trauma care has been centralised to the Royal Shrewsbury Hospital for assessment and medical input, before transferring those requiring operative intervention to the Robert Jones and Agnes Hunt Orthopaedic Hospital. We aim to review the impact of COVID-19 on hip fracture workload and service changes upon management of hip fractures.