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injuries to the acl are common in athletes this ligament serves as a primary restraint to anterior displacement of the tibia acts as a restraint to internal and external rotation various valves positions and combinations of these motions an estimated 200 000 injuries occur every year in the u.s resulting in approximately 60 to 150 000 surgical repairs despite advances in surgical techniques and optimizing rehab protocols graft failure remains considerably high with recent reports of up to 13 percent in this video we will answer one of the most common questions people have how long does it take for the acl to heal after surgical reconstruction acl graft healing is often described in three phases early healing proliferation and maturation the early healing phase begins shortly after the graft is implanted where an accumulation of inflammatory cells like neutrophils macrophages and various cytokines invade the area and help start the healing process now at the same time the implanted graf