Osteonecrosis of the medial femoral condyle is an uncommon complicatio
n of meniscal surgery. Whether this disease is associated with the ori
ginal medial meniscus lesion or with the arthroscopic procedure is not
yet known. We present two cases in which osteonecrosis has developed
shortly after arthroscopy was performed for medial meniscus pathology.
Magnetic resonance imaging has been the best tool to diagnose and fol
low up the changes in the involved area, Concerning the etiology, the
authors raise the question of whether the medial compartment overloadi
ng observed in both of these cases had any significant meaning. Osteon
ecrosis following meniscal surgery in relatively young patients seems
to have a good prognosis when correctly treated, with avoidance of wei
ght bearing.