There are two ligaments in the knee cavity, the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), which play a vital role in maintaining the stability of the knee joint, with the ACL serving to: (1) limit tibial anterior translation (2) limit hyperextension (3) limit internal and external rotation activity (4) limit internal and external rotation activity. The main role is to limit the anterior tibial translation. The ACL has a femoral stop located posteriorly above the lateral wall of the intercondylar fossa and a tibial stop located slightly anterior to the medial aspect of the tibial ridge on the tibial plateau. The ACL is the static stabilizing structure of the knee joint and plays a vital role in the stability of the knee joint. a rupture of the ACL can produce significant knee instability, which can seriously affect knee function and subsequently lead to damage to the articular cartilage, meniscus and other structures, resulting in early onset of joint degeneration and osteoarthritis. a rupture of the ACL is a common condition in sports injury departments and is commonly seen in sports such as soccer, basketball and gymnastics. Clinical practice and research results indicate that early reconstruction should be performed after ACL rupture to restore the stability of the knee joint as soon as possible, and surgical reconstruction, especially arthroscopic ACL reconstruction, has become the main treatment method for ACL rupture, with a reported clinical success rate of 80% to 95%. Along with the continuous development of medical devices and clinical research, the ways of ACL reconstruction have become more and more abundant. From single open surgery to minimally invasive arthroscopic surgery, from traditional single-bundle reconstruction to double- and even triple-bundle reconstruction, from over-the-top reconstruction to anatomic reconstruction, many clinicians and researchers expect to restore maximum knee function to their patients.