Research Article

Focal Defects of the Knee Articular Surface: Evidence of a Regenerative Potential Pattern in Osteochondritis Dissecans and Degenerative Lesions

Table 2

Histological score.

Cartilage compartment (Mankin score [24])

Cartilage structure
Normal0
Surface irregularities1
Pannus and Surface irregularities2
Clefts to transitional zone3
Clefts to radial zone4
Clefts to calcified zone5
Complete disorganization6
Cells
Normal0
Diffuse hypercellularity1
Cloning2
Hypocellularity3
Safranin O staining
Normal0
Slight reduction1
Moderate reduction2
Severe Reduction3
No dye noted4
Tidemark integrity
Intact0
Crossed by blood vessels1
Crossed by fibrous tissues2
Duplication3

Bone compartment

Bone plate integrity
Normal0
Decreased plate thickness1
Increased plate thickness2
Trabecular bone integrity
Normal0
Decreased trabecular thickness1
Increased trabecular thickness2
Bone cells
Normal cellularity0
Hypercellularity1
Hypocellularity2
Empty lacunae ≥30%3
Bone marrow (BM) integrity
Normal0
BM + with vascular component1
BM + vascular + inflammatory cells2
BM + vascular component + inflammatory cells + fibrous tissues ≥30%3

Cartilage maximal score 16 (low <4; medium 5–9; high >9 score); bone maximal score 10 (low <3; medium 4–7; high >7 score); total score 26 (normal = 0).