"Every perception is to some degree an act of creation, and every act of memory is to some degree an act of imagination."

-- Gerald Edelman, Second Nature: Brain Science and Human Knowledge
Procedural versus declarative memory: There's a big difference between remembering a fact and mastering a process. For instance, while you might remember a Unix command when cued by an Anki question, that doesn't mean you'll recognize an opportunity to use the command in the context of the command line, and be comfortable typing it out. And it's still another thing to find novel, creative ways of combining the commands you know, in order to solve challenging problems. Put another way: to really internalize a process, it's not enough just to review Anki cards. You need to carry out the process, in context. And you need to solve real problems with it.