Variable Comment Score
Tissue Morphology (Ti) Mostly hyaline cartilage 4
  Mostly fibrocartilage 3
  Mostly non-cartilage 2
  Exclusively non-cartilage 1
Matrix staining (Matx) None 1
  Slight 2
  Moderate 3
  Strong 4
Structural integrity (Stru) Severe disintegration 1
  Cysts or disruption 2
  Beginning of columnar organization of chrondocytes 4
  Normal, similar to healthy mature cartilage 5
Chondrocyte clustering in implant (Clus) 25-100% of the cells clustered 1
  <25% of the cells clustered 2
  No clusters 3
Intactness of the calcified layer, formation of tidemark (Tide) <25% of the calcified layer intact 1
  25-49% of the calcified layer intact 2
  50-75% of the calcified layer intact 3
  76-90% of the calcified layer intact 4
  Complete intactness of the calcified cartilage layer 5
Subchondral bone formation (Bform) No formation 1
  Slight 2
  Strong 3
Histological appraisal of surface architecture (SurfH) Severe fibrillation of disruption 1
  Moderate fibrillation or irregularity 2
  Slight fibrillation or irregularity 3
  Normal 4
Histological appraisal defect filling (FilH) <25% 1
  26-50% 2
  51-75% 3
  76-90% 4
  91-110% 5
Lateral integration of implanted material (Latl) Not bonded 1
  Bonded at one hand/partially both ends 2
  Bonded at both sides 3
Basal integration of implanted material (Basl) <50% 1
  50-70% 2
  70-90% 3
  91-100% 4
Inflammation (InfH) No inflammation 1
  Slight inflammation 3
  Strong inflammation 5
Maximum total score   45
Table 2: Modified O’Driscoll histological score.