The fresh samples were fixed in 4% paraformaldehyde for 48 h followed with decalcification in 10% EDTA-2Na for 3 weeks, and then paraffin-embedded for further routine histological preparation. Three micrometer-thick sections were deparaffnized in xylene and rehydrated in graded alcohols and distilled water prior to H.E. and Safranin O –Fast green stainings as previously described [18 (link), 19 (link)]. The articular cartilage thickness of each femur condyle (from superficial zone to tidemark) was measured using Image-Pro Plus 6.0 software. According to OARSI scoring system established for grading OA changes [25 (link)], and semi-quantitative histopathological grading was performed using VS120-S6 (Olympus, Japan) by two different blinded pathologists, for a maximum possible score of 6. Grade 0 represents normal articular cartilage and increasing grade indicates a more biologically cartilage degeneration.
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