I. Nature of predominant tissue |
Hyaline cartilage |
4 |
Mostly hyaline cartilage |
3 |
Mixed hyaline and fibrocartilage |
2 |
Mostly fibrocartilage |
1 |
Some fibrocartilage, mostly nonchnodrocytic cells |
0 |
II. Structural characteristics |
A. Surface irregularity |
Smooth and intact |
3 |
Superficial horizontal lamination |
2 |
Fissures |
1 |
Severe disruption, including fibrillation |
0 |
B. Structural integrity, homogeneity |
Normal |
2 |
Slight disruption, including cysts |
1 |
Severe disintegration, disruptions |
0 |
C. Thickness |
100% of normal adjacent cartilage |
2 |
50–100% or thicker than normal |
1 |
0–50% of normal cartilage |
0 |
D. Bonding to adjacent cartilage |
Bonded at both ends of graft |
2 |
Bonded at one end or partially both ends |
1 |
Not bonded |
0 |
III. Freedom from cellular changes of degeneration |
A. Hypocellularity |
Normal cellularity |
2 |
Slight hypocellularity |
1 |
Moderate hypocellularity, or hypercellularity |
0 |
B. Chondrocyte clustering |
No clusters |
2 |
<25% of the cells |
1 |
25–100% of the cells |
0 |
IV. Freedom from degenerate 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 |
Severe hypocellularity, poor or no staining |
0 |
V. Subchondral bone |
A. Reconstruction of subchondral bone |
Normal |
3 |
Reduced subchondral bone reconstruction |
2 |
Minimal subchondral bone reconstruction |
1 |
No subchondral bone reconstruction |
0 |
B. Inflammatory response in subchondral bone region |
None/mild |
2 |
Moderate |
1 |
Severe |
0 |
VI. Safranin O staining |
Normal or near normal |
3 |
Moderate |
2 |
Slight |
1 |
None |
0 |
Total, max |
|
28 |