OC OsteoKnot™-Ex is an all suture anchor provides a novel approach to reduce meniscus extrusion. It is loaded with 2 pieces of USP size 0 UHMWPE fibers. By establishing a high anteromedial portal, the OsteoKnot™-Ex anchor is deployed inside the tibia plateau using a drill sleeve. The fibers coming out from the anchor are passed one by one through the meniscus in a mattress configuration. The knots are tied, which corrects the meniscal extrusion and restores its function. The USP size O UHMWPE Fibers of the OsteoKnot™-Ex anchor provides low profile knots over the meniscus, which reduces the chance of knot irritation compared to any other anchors. The small diameter of the anchor provides excellent pull-out strength. The OsteoKnot™-Ex anchor in-partner with RootFix™ Anchor helps realign the meniscus, hence preventing osteoarthritis and other major knee surgeries.