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why does it take so long for ACL graphs to heal this is one of the most common questions patients have and to understand this you need to understand the process of graft healing right after surgery the knee experiences A Rush of pro-inflammatory cells in response to the trauma from the surgery this phase is termed the early healing phase and lasts about 4 weeks after surgery it is classified by the lack of blood supply to the new graph in the beginning of graph necrosis a process where the graph begins to actually break down due to a temporary lack of oxygen in nutrients but despite the graft being in a state of slow Decay the new graft is actually stronger than the original ACL at this point this inflammatory response is initiated by the bodyamp;#39;s immune system and is a way to protect against infection and is responsible for the release of growth factors which set the stage for the healing process to follow