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A 75-year-old woman has been suffering from right hip pain for a long time. An X...

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A 75-year-old woman has been suffering from

right hip pain for a long time. An X-ray showed signs of severe osteoarthritis.

Therefore, the patient underwent total hip replacement. Histological

examination of the surgical specimen revealed a significantly damaged articular

surface with marked cartilage degeneration. Which of the following factors is

primarily responsible for the poor regeneration of articular cartilage?

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