Skip to main content
. 2019 Apr 17;17(6):4344–4356. doi: 10.3892/etm.2019.7499

Table III.

O'Driscoll's microscopic histological evaluation of articular cartilage.

Variable Score
Tissue morphology
  Mostly hyaline cartilage 4
  Mostly fibrocartilage 3
  Mostly non-cartilage 2
  Exclusively non-cartilage 1
Matrix staining
  None 1
  Slight 2
  Moderate 3
  Strong 4
Structural integrity
  Severe disintegration 1
  Cysts or disruption 2
  No organization of chondrocytes 3
  Beginning of columnar organization of chondrocytes 4
  Normal, similar to healthy mature cartilage 5
Chondrocyte clustering in implant
  25–100% of cells clustered 1
  <25% of cells clustered 2
  No clusters 3
Intactness of calcified layer; tidemark formation
  <25% of calcified layer intact 1
  25–49% of calcified layer intact 2
  50–75% of calcified layer intact 3
  76–90% of calcified layer intact 4
  Complete intactness of calcified cartilage layer 5
Subchondral bone formation
  No formation 1
  Slight 2
  Strong 3
Histological assessment of surface architecture
  Severe fibrillation of disruption 1
  Moderate fibrillation or irregularity 2
  Slight fibrillation or irregularity 3
  Normal 4
Histological assessment of defect filling
  <25% 1
  26–50% 2
  51–75% 3
  76–90% 4
  91–110% 5
Lateral integration of implanted material
  Not bonded 1
  Bonded at one hand/partially at both ends 2
  Bonded at both sides 3
Basal integration of implanted material
  <50% 1
  50–70% 2
  70–90% 3
  91–100% 4
Inflammation:
  No inflammation   1
  Slight inflammation   3
  Strong inflammation   5
Maximum total score 45