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Updated: Jan 27, 2026

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
Rehabilitation Variability After Elbow Ulnar Collateral Ligament Reconstruction
Harry M Lightsey1, David P Trofa1, Julian J Sonnenfeld1
1Department of Orthopedic Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, New York, USA.
Physical therapy protocols for elbow ulnar collateral ligament (UCL) reconstruction vary significantly. This study highlights the need for evidence-based guidelines to standardize rehabilitation and improve patient outcomes after UCL surgery.
Area of Science:
- Orthopaedic Surgery
- Sports Medicine
- Physical Therapy
Background:
- Limited research exists on optimal physical therapy post-ulnar collateral ligament (UCL) reconstruction.
- Current postoperative rehabilitation recommendations lack validated guidelines.
Purpose of the Study:
- To evaluate the diversity in rehabilitation protocols for UCL reconstruction.
- To compare protocols from US orthopaedic residency programs and scientific literature.
Main Methods:
- A cross-sectional study reviewed online rehabilitation protocols from US programs and literature.
- A scoring rubric assessed protocol components and timing for UCL reconstruction.
Main Results:
- 22 protocols from US programs and 8 from literature were analyzed.
- Significant variability observed in splinting, range of motion, and exercise progression.
- Return to competition timelines differed, with ERAS protocols allowing earlier return.
Conclusions:
- Wide variability exists in UCL reconstruction rehabilitation protocols.
- Outcome-based studies are needed to develop standardized, evidence-based rehabilitation guidelines.
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