Tommy John surgery (UCL reconstruction) at Pathway Surgery is performed for ulnar collateral ligament injuries in throwing and overhead athletes, using a tendon graft to reconstruct the damaged ligament on the medial side of the elbow. Performed by fellowship-trained shoulder & upper-extremity surgeons; surgery is typically scheduled 2–4 weeks after consultation. Recovery is staged: brace use early, throwing program starting around 4–6 months, and return to competitive throwing typically 12–16 months after surgery. No referral required.
The ulnar collateral ligament (UCL) is located on the inner side of the elbow and is critical for stability during throwing motions. When the UCL is torn—often from repetitive stress in throwing athletes—it can cause pain, instability, and inability to throw at full velocity.
Tommy John surgery reconstructs the damaged UCL using a tendon graft. The graft acts as a scaffold that the body gradually incorporates, restoring elbow stability and throwing function.
Incision & Access
Small incision along inner elbow to access the damaged ligament
Graft Preparation
Tendon graft from your body or donor is prepared to replace the UCL
Tunnel Creation
Small tunnels created in humerus and ulna to secure the graft
Graft Fixation
Graft passed through tunnels and secured to recreate ligament function
Protection
Brace, gentle motion
Strengthening
Rebuild arm strength
Throwing Program
Gradual return to throwing
Competition
Full return to sport
Schedule a consultation to discuss your treatment options.
