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Level I\u2010IV studies were included if they provided outcome data for surgical repair of the quadriceps tendon using transosseous tunnels or suture anchors with minimum 1\u2010year follow\u2010up. Biomechanical studies comparing transosseous tunnels and suture anchors were separately analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The systematic search yielded 1,837 citations, 23 of which met inclusion criteria (18 clinical, 5 biomechanical). In total, 13 studies reported results for transosseous repair and 7 studies reported results for repair with suture anchors. There were results for 508 patients from clinical studies. The average postoperative Lysholm score ranged from 88 to 92 for suture anchor repairs and 72.8 to 94 for transosseous repairs with range of motion ranging from 117\u00b0 to 138\u00b0 and 116\u00b0 to 135\u00b0, respectively. Synthesis of the biomechanical data revealed the mean difference in load to failure was not significant between constructs (137.21; 95% confidence interval \u201310.14 to 284.57 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .068).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transosseous and suture anchor techniques for quadriceps tendon repair result in similar biomechanical and postoperative outcomes. No difference between techniques in regard to ultimate load to failure among comparative biomechanical studies were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review level III\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.100807","type":"journal-article","created":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T05:48:58Z","timestamp":1697348938000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Similar Outcomes Are Found Between Quadriceps Tendon Repair With Transosseous Tunnels and Suture Anchors: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"5","author":[{"given":"Carlo","family":"Coladonato","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres R.","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Hayden","family":"Sonnier","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin M.","family":"Looney","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bela P.","family":"Delvadia","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David O.","family":"Okhuereigbe","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankhuri","family":"Walia","sequence":"additional","affiliation":[{"name":"Philadelphia College of Osteopathic Medicine Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotios P.","family":"Tjoumakaris","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin B.","family":"Freedman","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Rothman Orthopaedic Institute Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,15]]},"reference":[{"key":"e_1_2_2_2_2","volume-title":"Quadriceps tendon rupture. 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