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Abstract

Introduction: The main goal of the present umbrella review was to provide the most up-to- date and evidence-based results regarding the various treatment options for tennis elbow (TE), which hopefully will significantly decrease the confusions existing in the literature. Furthermore, our study differs from past analytical studies because, as to the best of the authors’ knowledge, is the first to provide independent (not in comparison to other treatment) statistical results regarding the effectiveness of each TE treatment.
Materials and Methods: Major medical databases such as PubMed, Scopus, Embase, Web of Science, Google Scholar, Cochrane Library, BIOSIS, and EBSCO were searched. The overall search process was conducted in 3 stages.
Results: A total of 40 studies met the inclusion criteria and were included in this study. Out of those 40 meta-analyses, a total of 160 primary studies were screened in order to extract the data and perform a statistical analysis.
Conclusion: The present umbrella review underlines the efficiency of injection therapies, especially autologous blood, and platelet-rich plasma, while simultaneously proving the ineffectiveness of acupunc-ture and shock wave therapy as treatments for TE. Furthermore, the value of other known conservative treatment modalities, such as physical therapy, has been demonstrated.
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Authors and Affiliations

Michał Bonczar
1 2
Patryk Ostrowski
1 2
Dawid Plutecki
2 3
Martyna Dziedzic
1 2
Jakub Florek
4
Weronika Michalik
1
Wojciech Przybycień
1
Paweł Depukat
1
Bartosz Rutowicz
1
Ewa Walocha
1 2
Mateusz Koziej
1 2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Youthoria. Youth Research Organization, Kraków, Poland
  3. Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  4. Department of Orthopaedics and Traumatology, Rydygier Hospital, Brzesko, Poland
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Abstract

Medical applications of additive manufacturing have seen a significant growth in recent years due to availability of advanced medical imaging and design software and wide range of materials. The range of additively manufactured medical implants is growing rapidly and surgeons need to keep themselves updated with state-of-the-art of the technology. This article reviews several articles related to medical implants to help surgeons and researchers to stay up-to-date on recent developments in the domain. Additively manufactured medical implants are reviewed into five categories: orthopedic implants, dental implants, cranioplasty implants, scaffold implants for tissue engineering and other medical implants including chest wall reconstructive implants, anti-migration enhanced tracheal stents, and buccopharyngeal stents. Additive manufacturing process and material for fabrication of each type of implant are highlighted in the study. It has been observed that titanium alloy is a suitable material for cementless arthroplasty. Porosity in the implants supports bone ingrowth, which results in a significant reduction in stress shielding. Additive manufacturing has a very attractive future in medical implant fabrication due to its capability to produce complex and customized implants. The AM provides freedom to researcher to explore the complex design of medical implants for better bone regeneration and improved osseointegration.
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Authors and Affiliations

Hari Narayan Singh
1
ORCID: ORCID
Sanat Agrawal
1
ORCID: ORCID
Yashwant Kumar Modi
2
ORCID: ORCID

  1. Department of Mechanical Engineering, National Institute of Technology, Uttarakhand, India
  2. Department of Mechanical Engineering, Jaypee University of Engineering and Technology, Guna, India

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