Hyaline cartilage |
4 |
Mostly hyaline cartilage |
3 |
Mixed hyaline and fibrocartilage |
2 |
Mostly fibrocartilage |
1 |
Some fibrocartilage, mostly nonchondrocytic cells |
0 |
Structural characteristics |
Surface regularity |
Smooth and intact |
3 |
Superficial horizontal lamination |
2 |
Fissures |
1 |
Severe disruption, including fibrillation |
0 |
Structural integrity, homogeneity |
Normal |
2 |
Slight disruption |
1 |
Severe disintegration, disruptions |
0 |
Thickness |
100% of adjacent cartilage |
2 |
50–100% of normal cartilage |
1 |
0–50% of normal cartilage |
0 |
Bonding to adjacent cartilage |
Bonded at both ends of graft |
2 |
Bonded at one end or partially at both ends |
1 |
Not bonded |
1 |
Freedom from cellular changes of degeneration |
Hypocellularity |
Normal cellularity |
2 |
Slight hypocellularity |
1 |
Moderate hypocellularity or hypercellularity |
0 |
Chondrocyte clustering |
No clusters |
2 |
<25% of the cells |
1 |
25–100% 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 hypo/hypercellularity, slight staining |
1 |
Sever hypocellularity, poor or no staining |
0 |
Subchondral bone |
Reconstruction of subchondral bone |
Normal |
3 |
Reduced subchondral bone reconstruction |
2 |
Minimal subchondral bone reconstruction |
1 |
No subchondral bone reconstruction |
0 |
Inflammatory response in subchondral bone region |
None/mild |
2 |
Moderate |
1 |
Severe |
0 |
Safranin-O staining |
Normal or near normal |
3 |
Moderate |
2 |
Slight |
1 |
None |
0 |