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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\u2010row transosseous\u2010equivalent 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\u2010bone contact area and reinforce the repair construct. We describe our preferred open technique using a double\u2010row transosseous\u2010equivalent construct to maximize tendon footprint coverage and compression, combined with bone marrow aspirate concentrate and bioinductive collagen implant to enhance tendon\u2010to\u2010bone healing biology.<\/jats:p>","DOI":"10.1002\/atn2.70247","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:04:41Z","timestamp":1788224681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Open Proximal Rectus Femoris Tendon Full\u2010Thickness Tear Repair With Double\u2010Row Suture Anchor Transosseous\u2010Equivalent Construct With Biologic Augmentation Using Bone Marrow Aspirate Concentrate and Bovine Bioinductive Collagen Implant"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1890-5249","authenticated-orcid":false,"given":"David 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