Medial Meniscus Repair Using “AJStitch”: A Cost-Effective All-Inside All-Suture Meniscal Repair System

All-inside techniques are based on devices that use PEEK (polyether ether ketone) or biocomposite anchors placed at extracapsular locations such as anchorage points over which the sutures are tied. However, because of complications like irritability and intra-articular migration of these hard anchors, suture-based all-inside meniscal repair systems are now gaining popularity. Although these devices have advantages over conventional all-inside devices, they are costly, thus limiting their widespread use. The AJStitch meniscus repair system uses a specially designed spear to insert all-suture anchors, which can be made using a No. 5 Netbond and 2-0 Ultranet. This Technical Note describes the use of this system. It is an all-inside, all-suture meniscus repair system that provides a locally made, cost-effective option for posterior horn medial meniscus repair.