Purpose: We present the rate of osteochondritis disse-cans in a specific group of patients and the results after treatment which was done arthroscopic.

Material-Method: During a period from 1995 to 2001, in 39 patients with mean age 23.4 years suffering of knee pain, osteochondritis dissecans was diagnosed. The classification of the lesions was based on magnetic resonance and surgically treatment was decided. In 32 pts, a partially detached lesion was found and reattachment with biodegradable pins took place. In five pts the lesion was recently detached and treated similarly with pinning after debridement of the crater. In the last two patients the detachment was old, the osteochondral segment was removed and drilling took place.

Results: All patients were followed up for two years and the evaluation was based on the Lyscholm score. Successful healing certified radiologically was achieved in 33 patients.

Conclusion: Osteochondritis dissecans of the knee is seen between young adults who participate in sports activities. The arthroscopic treatment in our clinic was successful in the 84% of patients with good and excellent clinical results.