Introduction. When dealing with ruptures at the tendon-bone junction either transosseous sutures(TS) or anchor fixation(AF) are the most well described methods of repair. The aim of this study was to compare these two surgical methods by carrying out a systematic review of the existing literature. Methods. A systematic search of bibliographic databases to identify studies using either TS or AF for patients with QTR, with outcome measures being either range of motion(ROM), extension lag(EL), re-rupture(RR) and/or Lysholm score(LS). Results. The AF group included 3 studies containing 45 patients. The postoperative outcomes reported were a ROM average of 128,5°, and 3 EL (6,7%) and 2 RR were reported(4,4%). 2 postoperative LS showed an average of 88,9. The TS group included 2 studies containing 32 patients. One study reported an average ROM postoperatively of 138°, one a ROM under 120° postoperatively in 2 out of 14 QTRs, 3 EL (13%), no RR and one postoperative LS of 94 in 8 patients. Conclusion. This study implies a slight postoperative advantage when using transosseous sutures compared to anchor fixation. However, given a low patient count and a lack of statistical power, no conclusion on the optimal surgical method for QTR can be made.