Open Proximal Rectus Femoris Tendon Full-Thickness Tear Repair With Double-Row Suture Anchor Transosseous-Equivalent Construct With Biologic Augmentation Using Bone Marrow Aspirate Concentrate and Bovine Bioinductive Collagen Implant.

Proximal full-thickness rectus femoris tendon tears are debilitating injuries in high-demand athletes, particularly those involved in sprinting and soccer. Although direct repair remains the mainstay of treatment, concerns exist regarding tendon healing, strength restoration, and the risk of retear. Contemporary suture anchor fixation techniques employing a double-row transosseous-equivalent construct, combined with biologic augmentation with autologous bone marrow aspirate concentrate and a highly purified type I bioinductive collagen implant, offer a potential means to increase the tendon-bone contact area and reinforce the repair construct. We describe our preferred open technique using a double-row transosseous-equivalent construct to maximize tendon footprint coverage and compression, combined with bone marrow aspirate concentrate and bioinductive collagen implant to enhance tendon-to-bone healing biology.