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 |