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The rehabilitation protocol after a Tommy John surgery typically involves several phases. The length of each phase varies depending on each patient and depends on tissue healing and progression. Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle.
PHASE I: IMMEDIATE POST-OP PHASE (0-3 WEEKS AFTER SURGERY) Rehabilitation Goals. Protect healing tissue. Reduce pain and inflammation. Protect graft site. Reduce muscle atrophy. Brace. Week 1 – Immobilized in Posterior splint at 90 degrees of Elbow Flexion.
This protocol provides you with general guidelines for the rehabilitation of the reconstructed elbow. The physician will make specific changes in the program as appropriate for an individual patient. If you have any questions regarding the progress for the patient, the physician should be contacted.
The ulnar collateral ligament reconstruction (Tommy John operation) was developed by Frank Jobe, MD. It revolutionized baseball in giving players a chance to return to throwing in what used to be a career ending injury.
Reconstruction of the ulnar collateral ligament of the elbow is performed for overhead and throwing athletes who suffer disabling pain and weakness after tearing that ligament. The surgery is common referred as “Tommy John Surgery” after the professional baseball player who first underwent the procedure in 1979.
UCL RECONSTRUCTION (TOMMY JOHN SURGERY) - REHAB PROTOCOL. I. IMMEDIATE POST-OPERATIVE PHASE (0-3 weeks) Goals: Protect healing tissue Decrease pain/inflammation Retard muscular atrophy Protect graft site – allow healing. A. Post-Operative Week 1. Brace: Posterior splint at 90 degrees elbow flexion.
Tommy John Rehabilitation Protocol. Introduction. The ulnar collateral ligament reconstruction is a. tendon transfer procedure. No muscles are transected during this process which allows for a faster recovery time since there is less surgical trauma.
