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Lint: aseptic-loosening-of-hip-joint-replacements

Acronyms
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"The causes of particle accumulation include implant interface wear, microscopic motion occurring in response to corrosion, oxidative reactions, and minor pathogen contamination. The initial response to particulate debris can include a subtle inflammatory response, which becomes more pronounced as osteolysis progresses. This inflammatory environment provokes a cellular response that is characterised by elevated levels of secreted factors such as TNF, RANKL, IL-6, IL-1, and IL-11."

Line 4:453 · 'TNF' has no definition. Spell it out if it's unfamiliar to the audience.

"The causes of particle accumulation include implant interface wear, microscopic motion occurring in response to corrosion, oxidative reactions, and minor pathogen contamination. The initial response to particulate debris can include a subtle inflammatory response, which becomes more pronounced as osteolysis progresses. This inflammatory environment provokes a cellular response that is characterised by elevated levels of secreted factors such as TNF, RANKL, IL-6, IL-1, and IL-11."

Line 4:458 · 'RANKL' has no definition. Spell it out if it's unfamiliar to the audience.
List Caps
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"DeLee & Charnley and Gruen zones"

Line 20:11 · In general, we don't start a list item with a capital letter. Exceptions are proper nouns.