For this procedure, the arm is opened around the elbow area, and holes are drilled in the ulna and humerus bones. A tendon is taken from another location and is used as a graft, it is then woven through the holes and anchored in place. The ulnar nerve must be relocated to prevent pain from scar tissue. Post-surgery, a rehabilitation period is required to allow the body to adapt to the presence of the tendon and to prevent further injury.
Nine in ten patients typically make a full recovery and are able to return to sports after a waiting period during which they rest and recover or undergo some form of physical therapy. The total time for full rehabilitation depends on the position the athlete plays. For some athletes, it may take up to a year, while others may return to sports at around 6 months. The actual rehabilitation period will be determined on a case by case basis in order to protect the tendon after the procedure.