Uchida R, Shino K, Iuchi R, et al. - This study was intended to clarify the location of the tunnel apertures created using the bony landmark strategy and to elucidate clinical outcomes after anatomic triple-bundle (ATB) anterior cruciate ligament (ACL) reconstruction. Researchers recruited a total of 32 patients with unilateral ACL injury who had consented to undergo computed tomography (CT) at 3 weeks, as well as a 2-year follow-up evaluation. They evaluated the location of the tunnel aperture areas using 3-dimensional CT images, and 2-year postoperative clinical outcomes were assessed. The tunnels can be created in proper locations using the arthroscopically identifiable bony landmarks in ATB ACL reconstructions with hamstring tendon grafts. The results demonstrate that ATB ACL reconstruction with hamstring tendon grafts via the proper tunnels results in consistently satisfactory clinical outcomes.