Ankles were formalin-fixed, decalcified with a decalcifying solution (Sigma-Aldrich), and embedded in paraffin. Ankle joint sections (5 μm) were subjected to hematoxylin and eosin (H&E) and safranin O staining. Slides were imaged using a Nikon microscope imaging system and NIS-Elements software (Nikon Instruments, Tokyo, Japan). The assessment of synovial inflammation, bone erosion, and cartilage damage was conducted as previously described (36 (link)).
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