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According to Mankin et al, the rigorousness of the OA destruction was categorized using the histologic standards (Table 2) based on structural variations (scale range 06), cellular variations (scale range 03), damage of safranin O staining (scale range 04) and tidemark integrity (scale range 01) by 3 independent researchers

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These mechanisms align with improvements in redox balance, hormonal cycling, and tissue regenerationcore to recovery and resilience in orthopaedic populations