Ninety-nine mature New Zealand White (NZW) rabbits underwent unilatera
l anterior cruciate ligament transection (ACLT) and were divided into
three groups. The contralateral non-operated knees served as controls.
The first group (SA) received intra-articular injections of 0.3 ml hy
aluronan (HA: MW; 8x10(5)) beginning 4 weeks after ACLT, once a week f
or 5 weeks. The second group (SV) was injected with vehicle (carrier o
f HA) in the same fashion as the SA group. The third group (SN) served
as a nontreatment group post ACLT. All animals were killed 9 weeks po
st-surgery and were assessed by gross morphology, histomorphometry and
biochemical analysis. Gross morphologic changes on the femoral cartil
age in the SA group were less severe than those in the SV and SN group
s. Cartilage thickness, cartilage area, and thickness of synovial lini
ng cell layer histomorphometric parameters were measured, showing a po
sitive effect of HA on the preservation of articular cartilage and syn
ovial tissue. Similarly, the cartilage and synovial tissues from knees
injected with HA did not demonstrate significant alterations from con
tralateral controls as measured by biochemical analysis [i.e., water c
ontent, pyridinoline concentration, glycosaminoglycan (GAG) content fo
r the cartilage, and DNA concentration for the synovial tissue].