|With the increased burden of the aging population choosing an appropriate hip hemiarthroplasty implant has never been so important. Careful radiographic pre-operative evaluation is required in order to avoid over lengthening the ETS prosthesis in patients with a narrow canal, which can result in failed on table reduction, difficulty in mobilising the patient and lateral buttock pain syndrome. It is important to be able to choose a smaller prosthesis in such an event, the modular JRI offers such an option and is a valuable alternative to such a scenario. A modular system may also be beneficial should revision surgery be required from acetabular wear or protrusio. The effect of horticultural therapy as a means of rebuilding local communities in disaster areas, and to establish a system of horticultural therapy as a regional community support that is available to these communities
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