Table 2.
Histological scoring system for the evaluation of (a) overall tissue, (b) subchondral bone, and (c) cartilage in rabbit osteochondral defects.
Score | |
---|---|
(a) Overall defect evaluation (throughout the entire defect depth) | |
1. Percent filling with newly formed tissue | |
100% | 3 |
>50% | 2 |
<50% | 1 |
0% | 0 |
2. Percent degradation of the implant | |
100% | 3 |
>50% | 2 |
<50% | 1 |
0% | 0 |
(b) Subchondral bone evaluation (within the bottom 2 mm of defect) | |
3. Percent filling with newly formed tissue | |
100% | 3 |
>50% | 2 |
<50% | 1 |
0% | 0 |
4. Subchondral bone morphology | |
Normal, trabecular bone | 4 |
Trabecular bone, with some compact bone | 3 |
Compact bone | 2 |
Compact bone and fibrous tissue | 1 |
Only fibrous tissue or no tissue | 0 |
5. Extent of new tissue bonding with adjacent bone | |
Complete on both edges | 3 |
Complete on one edge | 2 |
Partial on both edges | 1 |
Without continuity on either edge | 0 |
(c) Cartilage evaluation (within the upper 1 mm of defect) | |
6. Morphology of newly formed surface tissue | |
Exclusively articular cartilage | 4 |
Mainly hyaline cartilage | 3 |
Fibrocartilage (spherical morphology observed with ≥ 75% of cells) | 2 |
Only fibrous cartilage (spherical morphology observed with < 75% of cells) | 1 |
No tissue | 0 |
7. Thickness of newly formed cartilage | |
Similar to the surrounding cartilage | 3 |
Greater than the surrounding cartilage | 2 |
Less than the surrounding cartilage | 1 |
No cartilage | 0 |
8. Joint surface regularity | |
Smooth, intact surface | 3 |
Surface fissures (<25% of new surface thickness) | 2 |
Deep fissures (≥25% of new surface thickness) | 1 |
Complete disruption of the new surface | 0 |
9. Chondrocyte clustering | |
None at all | 3 |
<25% chondrocytes | 2 |
25–100% chondrocytes | 1 |
No chondrocytes present (no cartilage) | 0 |
10. Chondrocyte and GAG content of new cartilage | |
Normal cellularity with normal Safranin O staining | 3 |
Normal cellularity with moderate Safranin O staining | 2 |
Clearly less cells with poor Safranin O staining | 1 |
Few cells with no or little Safranin O staining or no cartilage | 0 |
11. Chondrocyte and GAG content of adjacent cartilage | |
Normal cellularity with normal Safranin O staining | 3 |
Normal cellularity with moderate Safranin O staining | 2 |
Clearly less cells with poor Safranin O staining | 1 |
Few cells with no or little Safranin O staining or no cartilage | 0 |