The fractal dimension of trabecular bones was determined for biopsies
from the proximal femur of 25 subjects undergoing hip arthroplasty. Th
e average age was 67.7 years. A binary profile of the trabecular bone
in the biopsy was obtained from a digitized image. A program written f
or the Quantimet 520 performed the fractal analysis. The fractal dimen
sion was calculated for each specimen, using boxes whose sides ranged
from 65 to 1000 mu-m in length. The mean fractal dimension for the 25
subjects was 1.195 +/- 0.064 and shows that in Euclidean terms the sur
face extent of trabecular bone is indeterminate. The Quantimet 520 was
also used to perform bone histomorphometric measurements. These were
bone volume/total volume (BV/TV) (per cent)=11.05 +/- 4.38, bone surfa
ce/total volume (BS/TV) (mm(2)mm(3))=1.90 +/- 0.51, trabecular thickne
ss (Tb.Tb)(mm)=0.12 +/-0.03, trabecular spacing (Tb.Sp) (mm)=1.03 +/-
0.36, and trabecular number (Tb.N) (number/mm)=0.95 +/- 0.25. Pearson'
correlation coefficients showed a statistically significant relations
hip between the fractal dimension and all the histomorphometric parame
ters, with BV/TV (r=0.85, P<0.0001), BS/TV (r=0.74, P<0.001), Tb.Th (r
=0.50, P<0.02), Tb.Sp (r=-0.81, P<0.0001), and Tb.N (r=0.76, P<0.0001)
. This method for calculating fractal dimension shows that trabecular
bone exhibits fractal properties over a defined box size, which is wit
hin the dimensions of a structural unit for trabecular bone. Therefore
, the fractal dimension of trabecular bone provides a measure which do
es not rely on Euclidean descriptors in order to describe a complex ge
ometry.