This listing is for 2 Synthes 219.951 spiked washer.  These items are new.  You will receive 2 Synthes 219.951 spiked washer (only what is pictured).  Thanks for looking.

Local pickup is available.
If you select Local Pickup, you need to pick the item up within 72 hours of the sale being completed.  If the item is not picked up within that timeframe, you may incur storage charges.
By purchasing this item, you agree that you assume all risks associated with its use.
“The sale of this item may be subject to regulation by the U.S. Food and Drug Administration and state and local regulatory agencies. If so, do not bid on this item unless you are an authorized purchaser. If the item is subject to FDA regulation, I will verify your status as an authorized purchaser of this item before shipping of the item.”