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AUTHOR'S PROOF!
Metadata of the article that will be visualized in OnlineFirst
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Article Title
Anterior cruciate ligament reconstruction and return to sport activ ity: postural control as the key to success
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Article Sub- Title
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Article Copyright Year
SICOT aisbl 2014 (This w ill be the copyright line in the final PDF)
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Journal Name
International Orthopaedics
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Family Name
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Particle
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Given Name
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Suffix
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Organization
University of Salerno
Division
Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery
Address
Baronissi 84081, Salerno, Italy
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Organization
Mile End Hospital
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Division
Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry
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Address
275 Bancroft Road, London E1 4DG, UK
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e-mail
[email protected]
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Family Name
Papalia
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Particle
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Given Name
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Corresponding Author
Author
Maffulli Nicola
Rocco
Suffix Organization
Campus Bio-Medico University of Rome
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Division
Department of Orthopaedic and Trauma Surgery
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Address
Via Alvaro del Portillo 200, Rome, Italy
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e-mail
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Family Name
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Particle
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Author
Given Name
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Suffix
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Organization
Franceschi Francesco Campus Bio-Medico University of Rome
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Division
Department of Orthopaedic and Trauma Surgery
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Address
Via Alvaro del Portillo 200, Rome, Italy
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e-mail
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Family Name
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Particle
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Given Name
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Author
Tecame Andrea
Suffix Organization
Campus Bio-Medico University of Rome
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Division
Department of Orthopaedic and Trauma Surgery
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Address
Via Alvaro del Portillo 200, Rome, Italy
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e-mail
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Family Name
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Particle
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Given Name
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Author
D’Adamio Stefano
Suffix Organization
Campus Bio-Medico University of Rome
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Division
Department of Orthopaedic and Trauma Surgery
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Address
Via Alvaro del Portillo 200, Rome, Italy
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e-mail
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Family Name
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Particle
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Given Name
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Author
Denaro Vincenzo
Suffix Organization
Campus Bio-Medico University of Rome
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Division
Department of Orthopaedic and Trauma Surgery
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Address
Via Alvaro del Portillo 200, Rome, Italy
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e-mail
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Received
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Schedule
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Revised Accepted
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Abstract
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Keywords separated by ' - '
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Foot note information
3 August 2014 14 August 2014
ACL - Reconstruction - Semitendinosus and gracilis - Patellar tendon - Rehabilitation - KAM
AUTHOR'S PROOF!
JrnlID 264_ArtID 2513_Proof# 1 - 03/09/2014
International Orthopaedics (SICOT) DOI 10.1007/s00264-014-2513-9
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Anterior cruciate ligament reconstruction and return to sport activity: postural control as the key to success Rocco Papalia & Francesco Franceschi & Andrea Tecame & Stefano D’Adamio & Nicola Maffulli & Vincenzo Denaro
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Received: 3 August 2014 / Accepted: 14 August 2014 # SICOT aisbl 2014
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Abstract Purpose The risk for re-tear following anterior cruciate ligament (ACL) reconstruction is influenced by several hormonal, neuromuscular, biomechanical and anatomic factors. One of the most important negative prognostic factors that markedly increase the risk for ACL re-tear is the presence of high kneeabduction moment (KAM), which can be measured immediately by landing on both feet after a vertical jump. We evaluated the effect in postoperative values for KAM according to the type of graft used for ACL reconstruction (hamstring vs patellar tendon) and a specific rehabilitation protocol focusing on recovery of muscular strength, proprioception and joint stabilisation. Methods From November 2010 to September 2012, we enrolled 40 female recreational athletes with clinical and imaging evidence of ACL tear and randomised them in two groups. One group of patients underwent reconstruction with a hamstring-tendon graft and the second with a patellar-tendon graft. A custom rehabilitation programme focusing on proprioception was adopted. Clinical outcomes [International Knee Documentation Committee (IKDC) and Lysholm scores] and performance in functional test for stability (single-leg hop,
timed hop, crossover triple hop, KAM test) were assessed preoperatively at 3 and 6 months postoperatively. Results All patients showed statistically significant clinical improvements postoperatively when compared with preoperative values (P
