What is UCL Repair with Internal Brace?
Ulnar Collateral Ligament (UCL) Repair with Internal Brace is a surgical procedure designed to treat partial or proximal UCL tears, typically in athletes who place repetitive stress on the elbow—especially baseball pitchers. Unlike traditional UCL reconstruction, this technique preserves the native ligament and reinforces it with a collagen-coated fiber tape, known as an “internal brace,” to provide added strength and stability.
When is UCL Repair with Internal Brace Recommended?
This procedure may be recommended in the following situations:
- Partial or proximal UCL tear with healthy remaining ligament tissue
- Athletes seeking faster recovery compared to UCL reconstruction
- Failed conservative treatments like rest, physical therapy, or bracing
- High-demand overhead athletes (e.g., baseball pitchers, javelin throwers)
How is UCL Repair with Internal Brace Performed?
The surgeon makes a small incision over the inside of the elbow, identifies the torn UCL, and repairs it using strong suture anchors. The internal brace—a synthetic, collagen-coated tape—is then fixed alongside the ligament to reinforce the repair. This technique allows for natural healing while providing immediate biomechanical support.
Recovery after UCL Repair with Internal Brace
Recovery is typically faster than with full reconstruction. Athletes may begin light throwing as early as 3–4 months post-op, with a full return to play around 6–9 months. Physical therapy plays a key role in regaining strength, mobility, and function.
Risks of UCL Repair with Internal Brace
Like any surgery, there are potential risks:
- Nerve irritation or injury
- Infection
- Stiffness or reduced range of motion
- Incomplete healing or repair failure
Benefits of UCL Repair with Internal Brace
This procedure offers several advantages:
- Faster recovery timeline compared to reconstruction
- Minimally invasive technique
- Preservation of native ligament
- High success rate in returning athletes to competitive play
