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why doesnt the ACL heal on its own so the MCL the the medial collateral ligament thats ligament that sits here on the inside of the knee that heals very well and the reason is is its outside the joint it has a great blood supply the ACL is inside the joint so when it tears a little synovial cap grows over the torn stump and it cant really heal back and so people tend to have a knee that remains unstable and continues to give them problems whereas an MCL very often will heal in and folks wont have that issue