Nature of predominant tissue
|
|
Cellular morphology |
|
Hyaline articular cartilage |
4 |
Incompletely differentiated mesenchyme |
2 |
Fibrous tissue or bone |
0 |
Safranin O staining of matrix |
|
Normal or nearly normal |
3 |
Moderate |
2 |
Slight |
1 |
None |
0 |
Structural characteristics
|
|
Surface regularity |
|
Smooth and intact |
3 |
Superficial horizontal lamination |
2 |
Fissure—25 to 100→ of the thickness |
1 |
Severe disruption, including fibrillation |
0 |
Structural integrity |
|
Normal |
2 |
Slight disruption, including cysts |
1 |
Severe disintegration |
0 |
Thickness |
|
100→ of normal adjacent cartilage |
2 |
50 to 100→ of normal cartilage |
1 |
0 to 50→ of normal cartilage |
0 |
Bonding to the adjacent cartilage |
|
Bonded at both ends of graft |
2 |
Bonded at one end, or partially at both ends |
1 |
Not bonded |
0 |
Freedom from cellular changes of degeneration
|
|
Hypocellularity |
|
Normal |
3 |
Slight |
2 |
Moderate |
1 |
Severe |
0 |
Chondrocyte clustering |
|
No clusters |
2 |
<25→ of the cells |
1 |
25 to 100→ of the cells |
0 |
Freedom from degenerative changes in adjacent cartilage
|
|
Normal cellularity, no clusters, normal staining |
3 |
Normal cellularity, mild clusters, moderate staining |
2 |
Mild or moderate hypocellularity, slight staining |
1 |
Severe hypocellularity, poor or no staining |
0 |