“…We based the decision not to include such a control group in part on previous clinical and animal studies of the use of unmodified hyaluronic acid with tendon surgery 26,34,35 as well as published reports in which there was no difference in gliding resistance, after repetitive motion in vitro, between tendons treated with unmodified hyaluronic acid and untreated tendons 41,55 . Finally, while the hyaluronic acid-binding-protein technique has been well studied and accepted as a sensitive and specific hyaluronic acid staining method [63][64][65][66][67][68] , it is only semiquantitative as a result of a variety of factors including, but not limited to, sample preparation (frozen or paraffin), dilution of the antibody, staining techniques (for example, washing duration and frequency), varying photographic conditions and lighting, and selection of the analytic area. Using the ratio between the cd-HA and saline-solution groups may have eliminated some errors in photographic and color density analysis as paired tendons (one treated with cd-HA and one treated with saline solution) from the same dog were photographed and analyzed together.…”