Table 2: Within-group comparisons (‘H’ vs. ‘I’ vs. ‘A’) of the values of cps, ris, and cartilage and bone turnover markers in both groups. The IA-CS group was excluded from the comparisons due to the absence of 'A'-patterns.

Radiographic Grade

Kellgren-Lawrence –II

Kellgren-Lawrence-III

Radiographic

 Pattern

‘H’

‘I’

‘A’

‘H’

‘I’

‘A’

Treatment groups#

NS

HA

NS

HA

NS

HA

NS

HA

NS

HA

NS

HA

WOMAC-C
M0-Median (IQR)

32 (31-33)

31 (31-33)

33 (32-35)

34 (32-36)

36 (35-37)

36 (34-37)

38 (37-39)

38 (36-40)

41 (39-42)

41 (39-43)

43 (42-44)

43 (41-45)

p* ‘H’ vs. ‘A’

p< 0.001; p< 0.001

p< 0.001; p< 0.001

p* ’H’ vs. ‘I’

p = 0.06; p = 0.06

p = 0.06; p = 0.06

p* ’I’ vs. ‘A’

p = 0.05; p = 0.05

p = 0.05; p = 0.06

PW-VAS M0 Median (IQR)

41(39-42)

41 (39-42)

43 (42-44)

43 (41-45)

45 (44-47)

45 (43-48)

48 (47-49)

48 (47-50)

50󠄀 (49-52)

50 (48-53)

52 (51-54)

53(52-55)

p* ‘H’ vs. ‘A’

p< 0.001; p< 0.001

p< 0.001; p< 0.001

p* ’H’ vs. ‘I’

p = 0.05; p = 0.05

p = 0.05; p = 0.05

p* ’I’ vs. ‘A’

p = 0.05; p = 0.05

p = 0.05; p = 0.05

s-CTX-I M0 Median (IQR)

522 (461-601)

527 (466-601)

590 (510-670)

594 (514-680)

652 (601-701)

657 (611-703)

562 (501-623)

562 (509-618)

647 (603-698)

653 (601-699)

717 (652-779)

723 (661-792)

p* ‘H’ vs. ‘A’

p = 0.007; p = 0.009

p = 0.006; p0.007

p* ’H’ vs. ‘I’

p = 0.563; p = 0.06

p = 0.05; p = 0.05

p* ’I’ vs. ‘A’

p = 0.05; p = 0.05

p = 0.05; p = 0.05

u-CTX-II M0 Median (IQR)

348 (302-391)

352 (302-392)

376 (328-417)

379 (331-418)

456 (416-496)

463 (419-499)

377 (317-437)

381 (321-439)

417 (349-477)

421 (351-481)

477 (427-527)

483 (429-529)

p* ‘H’ vs. ‘A’

p = 0.005; p0.006

p = 0.006; p = 0.008

p* ’H’ vs. ‘I’

p = 0.06; p = 0.06

p = 0.06; p = 0.06

p* ’I’ vs. ‘A’

p = 0.06; p = 0.06

p = 0.05; p = 0.05

TH-BMD M0 Median (IQR)

 

1.5 (1.3-1.7)

 

1.5 (1.4-1.6)

 

1.4 (1.3-1.5)

 

1.4 (1.2-1.6

 

1.3 (1.2-1.4)

 

1.3 (1.1-1.5)

1.4 (1.3-1.5)

1.4 (1.2-1.6)

1.3 (1.2-1.4)

1.3 (1.1-1.5)

1.2 (1.1-1.3)

1.2 (1.0-1.4)

p* ‘H’ vs. ‘A’

p = 0.008; p = 0.009

p0.007; p = 0.009

p* ’H’ vs. ‘I’

p = 0.07; p = 0.07

p = 0.06; p = 0.06

p* ’I’ vs. ‘A’

p = 0.06; p = 0.06

p = 0.05; p = 0.05

mJSW M0 Median (IQR)

4.4 (3.8 -4.8)

4.4 (3.9-4.9)

4.3 (3.8-4.7)

4.3 (3.8-4.8)

4.2 (3.7-4.7)

4.2 (3.7- 4.7)

3.6 (3.2- 4.0)

3.6 (3.1- 4.1)

3.5 (3.1- 3.9)

3.5 (3.0- 4.0)

3.4 (2.9-3.9)

3.4 (3.0-3.8)

p* ‘H’ vs. ‘A’

p = 0.06; p = 0.06

p = 0.1; p = 0.1

p* ’H’ vs. ‘I’

p = 0.2; p = 0.2

p = 0.2; p = 0.2

p* ’I’ vs. ‘A’

p = 0.2; p = 0.2

p = 0.2; p = 0.2

HA – MMW - HA group; NS - Normal saline as a control group; WOMAC-C - WOMAC function scale; PW-VAS - Pain at walking by visual analogue scale in millimeter; s-CTX-I - Serum CTX-I, the levels are given as nanogram per milliliter; u-CTX-II - Urine - CTX-II, the levels are given as ng/mmol Cr.; TB-BMD - Total body BMD; mJSW - median Joint Space Width; *- All interim comparisons were performed with Kruskal-Wallis test followed by Dunn-Bonferroni post hoc for the final analyses; p- p-values from comparisons in NS group; p- p-values from comparisons in MMW-HA group; #- each study subgroup included 25 subjects; K/L - II/III - radiographic grades according to Kellgren-Lawrence; ‘A’;‘I’;‘H’ -radiographic patterns (atrophic/normotrophic/hypertrophic).