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To anatomically clarify the location of the tunnel apertures created using the bony landmark strategy and toelucidate clinical outcomes after anatomic triple-bundle (AT anterior cruciate ligament (ACL) reconstruction. Thirty-two patients with unilateral ACL injury who had consented to undergo computed tomography (CT) at 3 weeks, as well as 2-year follow-up evaluation, were enrolled. At the time of surgery, remnant tissues were thoroughly cleared to create 2 femoral and 3 tibial tunnels inside the ACL attachment areas bordered by the b