Pediatric Tommy John surgery
If Tommy John surgery for ulnar collateral ligament (UCL) is right for your child, a pediatric orthopedic and sports medicine specialist from the Children's Health℠ Andrews Institute meets with you to explain how it works and answer any questions you may have.
What is pediatric Tommy John surgery?
When your child suffers an injury to the ulnar collateral ligament (UCL) inside the elbow, we’re here to help. Children can often fully recover from a UCL injury, thanks to a procedure known as Tommy John surgery.
Tommy John surgery repairs an injured elbow ligament, called the ulnar collateral ligament (UCL). It's most commonly done on young athletes, especially baseball pitchers. UCL tears happen from traumatic injuries, such as breaking the elbow, or from repetitive injuries, like throwing a baseball.
During Tommy John surgery, your surgeon will replace your child’s injured UCL with a tendon taken from somewhere else in your child’s body. Tommy John surgery will minimize your child’s pain and enable a return to sports and other daily activities.
What can I expect with pediatric Tommy John surgery?
The surgery involves a number of steps:
A pediatric orthopedic subspecialist gives medication to help your child fall asleep.
Before the procedure, the surgeon may first perform arthroscopic surgery to remove any loose fragments in the joint.(Learn more about arthroscopy.)
We take a tendon, also known as a graft, from your child’s forearm or hamstring that we use to replace the injured UCL.
We make an incision on the inside of the elbow to access your child’s UCL.
Using special tools, we drill tunnels into your child’s forearm and upper arm bones to weave the tendon through the holes in figure eight patterns to reconstruct the ligament.
After closing the incision, the procedure is complete.
The surgery lasts 60 to 90 minutes.
Your child recovers in our post-op recovery room. Here, nurse specialists experienced in caring for pediatric orthopedic patients provide around-the-clock monitoring.
Your child remains in the hospital overnight.
After surgery, your surgeon and our in-house physical therapists (PT) work together to design a comprehensive rehabilitation plan for your child.