Elbow Ligament Repair/Reconstruction (Lateral & Medial)
Elbow ligament repair or reconstruction is performed to restore stability to the joint after an injury to one or more of the supporting ligaments. The lateral ulnar collateral ligament (LUCL) and the medial collateral ligament (MCL) are key stabilisers of the elbow, preventing abnormal movement and maintaining alignment during daily activities. These ligaments can be damaged from trauma, dislocation, repetitive strain, or as a result of previous elbow surgery. In some cases, ligament injuries occur alongside fractures or other soft tissue damage, which may be repaired during the same operation.
The LUCL, located on the outer side of the elbow, is particularly important for preventing posterolateral rotatory instability, a condition where the elbow feels as though it might “give way.”
The MCL, on the inner side, stabilises the joint during throwing or lifting motions.
Surgical repair involves reattaching or reconstructing the torn ligament using sutures or graft tissue to restore normal stability and function.
After surgery, the elbow is usually protected in a splint or hinge brace to allow the repaired ligament to heal. Early movement is introduced under supervision of your physiotherapist, to prevent stiffness while protecting the joint from excessive stress. Patients typically begin with supported or overhead exercises before progressing to active movement and light strengthening. Avoiding particular movements (full extension, shoulder abduction, or rotation) in the early stages is crucial to prevent strain on the repair.
As recovery progresses, patients transition out of their splint and gradually regain strength and range of movement. Most people can return to normal daily activities within a few months, although full recovery may take longer depending on the extent of the injury. With appropriate rehabilitation and adherence to post-operative precautions, patients can expect a strong, stable elbow and a return to comfortable, pain-free function.