About UCL Repair

What is it and how is it performed?

UCL Repair Overview

A UCL repair or Tommy John Surgery treats a torn ulnar collateral ligament (UCL). The procedure is well known because it has been performed on many famous throwing athletes. Carolina Orthopaedic and Neurosurgical Associates’ (CONA) elbow specialists use the most effective surgical techniques and instruments to perform the procedure. CONA patients recover quickly and return to competition stronger than ever.

How is a UCL repair surgery performed?

Outpatient Tommy John Surgery is performed under general anesthesia. A CONA elbow specialist:

  • Carefully retracts skin and soft tissues
  • Removes the torn UCL and replaces it with graft harvested from the patient or a cadaver
  • Closes the skin and sterilely dresses the incision

A brace holds the elbow in a neutral position after surgery. Total procedure time is 1-2 hours.

What conditions can UCL repair treat?

Tommy John Surgery treats a completely torn UCL.

What are UCL repair advantages?

A completely torn UCL does not heal on its own and nonsurgical treatment options do not treat the injury. Tommy John Surgery is the only effective treatment option. Patients completely recover in just 6-8 months and return to sports with minimal to no restrictions.

What is UCL repair recovery like?

Patients return home shortly after their procedure. The elbow is immobilized for about two weeks. Follow up appointments occur 2 weeks and 1, 3, 6 and 8 months after surgery. Physical therapy is an important part of the recovery process. During one-on-one physical therapy sessions, the patient and physical therapist work together to stretch and strengthen the new UCL. Total recovery time is usually about 6-8 months.

Make an Appointment
with An Elbow Specialist

Please make an appointment with a CONA elbow specialist if you injure your elbow while playing a throwing sport. Your injury will be accurately diagnosed and a customized treatment plan will be prescribed.

what Our Patients Are Saying

Read Their Success Stories

I am happy with this practice all my questions are answered within 24 hours. Dr. Hoenig is great, his bedside manner is wonderful, he is very thorough, and makes personal calls after surgery to check on patients. I would definitely recommend to family and friends!

Tori S.

Dr. Hoenig

This has been one of my most positive experiences at a Dr's office. I was treated with respect and love. They made my surgical procedure less stressful and very positive.

Mindy U.

General Practice

These are the best group of doctors that myself & my family have ever been treated by in this field of medicine. They listen to how you feel instead of telling you how you feel. Thank you all for your caring & kindness.

Lori L.

General Practice

5 Decades Of Premier Orthopaedic & Neurological Care.

Treating Your Head, Shoulders, Knees, Toes and Everything In-Between

4 Convenient Locations


1330 Boiling Springs Road
Suite 1600
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.


115 Deacon Tiller Ct.
Duncan, SC 29334
Hours: 8:30 a.m. to 5:00 p.m.

Greenville Office

220 Roper Mountain Road Ext
Greenville, SC 29615
Hours: 8:30 a.m. to 5:00 p.m.


1075 Boiling Springs Road
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.

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