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. 2020 Jun 18;31(2):260–266. doi: 10.5606/ehc.2020.72592

Table 1. Histological grading scale for defects in articular cartilage.

Category Score (Points)
1. Filling of defect relative to surface of
  normal adjacent cartilage 0
  >90% 1
  75-90% 2
  50-74% 3
  25-49% 4
  <25%  
2. Cellular morphology (percentage of
  chondrocytes) 0
  >90% 1
  75-90% 2
  50-74% 3
  25-49% 4
  Mostly fibroblast-like cells
3. Surface architecture
  Normal 0
  Slightly irregular 1
  Fibrillation 2
  Distrupted 3
4. Matrix staining with Safranin O
  Normal 0
  Slightly reduced 1
  Moderately reduced 2
  Substantially reduced 3
  None 4
5. Tidemark formation
  >90% 0
  75-90% 1
  50-74% 2
  25-49% 3
  <25% 4
5.  Integration of repair tissue with adjacent
  articular cartilage 0
  Normal 1
  Decreased cellularity 2
  Small gap 3
  Discontinuity  
7.  Percentage of new subchondral bone
  >90% 0
  75-90% 1
  50-74% 2
  25-49% 3
  <25% 4