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・ Anterior cochlear nucleus
・ Anterior colliculus
・ Anterior commissure
・ Anterior commissure of labia majora
・ Anterior communicating artery
・ Anterior compartment
・ Anterior compartment of leg
・ Anterior compartment of the forearm
・ Anterior compartment of thigh
・ Anterior compartment syndrome of the lower leg
・ Anterior corticospinal tract
・ Anterior cranial fossa
・ Anterior cruciate ligament
・ Anterior cruciate ligament injury
・ Anterior cruciate ligament reconstruction
Anterior cruciate ligament reconstruction with contralateral autogenous patellar tendon graft
・ Anterior cutaneous branch
・ Anterior cutaneous branch of iliohypogastric nerve
・ Anterior cutaneous branches of the femoral nerve
・ Anterior cutaneous nerve entrapment syndrome
・ Anterior ethmoidal
・ Anterior ethmoidal artery
・ Anterior ethmoidal foramen
・ Anterior ethmoidal nerve
・ Anterior external arcuate fibers
・ Anterior fontanelle
・ Anterior fornix erogenous zone
・ Anterior funiculus
・ Anterior gastric branches of anterior vagal trunk
・ Anterior gluteal line


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Anterior cruciate ligament reconstruction with contralateral autogenous patellar tendon graft : ウィキペディア英語版
Anterior cruciate ligament reconstruction with contralateral autogenous patellar tendon graft

The Anterior Cruciate Ligament is the ligament that keeps the knee stable. Anterior Cruciate Ligament damage is a very common injury, especially among athletes.Anterior Cruciate Ligament Reconstruction (ACL) surgery is a common intervention. 1 in every 3,000 American suffers from a ruptured ACL and between 100,000 to 300,000 reconstruction surgeries will be performed each year in the United States.〔Baer GS, Harner CD. Clinical outcomes of allograft versus autograft in anterior cruciate ligament reconstruction. Clin Sports Med. 2007;26(4):661-681〕〔Cohen SB, Yucha DT, Ciccotti MC, Goldstein DT, Ciccotti MA, Ciccotti MG. Factors affecting patient selection of graft type in anterior cruciate ligament reconstruction. Arthroscopy. 2009;25(9):1006-1010〕 Around $500 million health care dollar with come from ACL injuries. ACL injuries can be categorized into groups- contact and non-contact based on the nature of the injury〔(Stats on ACL injuries ).〕 Contact injuries occur when a person or object come into contact with the knee causing the ligament to tear. However, non-contact tears typically occur during the following movements: decelerating, cutting, or landing from a jump. ACL injury is 4-6 times higher in females than in males. An increased Q angle and hormonal differences are a few examples of the gender disparity in ACL tear rates.〔(Anatomy and Gender Disparity of ACL injuries )〕
==Definition==
An anterior cruciate ligament reconstruction with contralateral autogenous patellar tendon graft is a surgical operation involving the harvesting of the patella tendon from the patient's uninjured leg. The graft includes the middle section of the patellar tendon along with two attached bone plugs one on each end.
The contralateral autogenous patellar tendon graft is rarely used as primary revision due to the concern of donor site morbidity.〔http://www.pubfacts.com/detail/25520302/Anterior-Cruciate-Ligament-Reconstruction-With-Contralateral-Autogenous-Patellar-Tendon-Graft:-Evalu〕 Instead it is primarily considered when a patient is opposed to using an allograft but has already undergone an ACL revision using the ipsilateral patellar tendon. In addition, there are many health care settings around the nation where readily available, safe, and cost effective allograft tissues are not obtainable. In this situation the contralateral autogenous Patellar tendon graft may be the best option

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