UCL Repair & Reconstruction
Ulnar Collateral Ligament Repair & Reconstruction
The ulnar collateral ligament (UCL), located in the inner elbow, plays an important role in providing stability during high-stress activities. Athletes who place repetitive stress on the elbow, especially overhead throwers like baseball pitchers, are at risk of tearing the ligament. When a tear occurs, the ligament will either be repaired or replaced with a tendon graft. After surgery, patients can expect to return to high-level activity with improved strength and stability.
Conditions We Treat
UCL surgery is recommended for:
- Partial or complete tears of the UCL
- Chronic elbow instability or pain during throwing
- Decreased throwing velocity or performance
- Failed non-surgical treatment such as rest, therapy or bracing
- Acute ligament injury in athletes or active individuals
What to Expect
Depending on the severity of the tear, patients will have either:.
- UCL Repair. The surgeon reattaches the torn ligament, sometimes using internal bracing for added support.
- UCL Reconstruction (Tommy John Surgery). A tendon is often taken from the forearm or leg and used to replace the damaged ligament.
Both UCL repair and reconstruction are performed under general anesthesia. Procedures typically take 1–2 hours and are usually done on an outpatient basis. Recovery involves a structured rehabilitation program, with gradual return to throwing over several months.
Benefits
Patients who undergo UCL repair or reconstruction experience:
- Restoration of elbow stability and function
- Ability to return to sports and high-level activity
- Improved strength and throwing performance
- High success rates, especially in motivated athletes following rehab protocols