Demineralized human bone used as an autologous bone graft substitute i
s ethylene oxide sterilized, which is reported to reduce the bone's os
teoinductive potential. To determine the minimum sterilization time re
quired and the effect of ethylene oxide on bone's osteoinductive capac
ity and chemical structure, samples were exposed to ethylene oxide for
different times (5-240 min). Results showed that 1 h exposure sterili
zed the bone (assessed by Attests(TM)). This exposure time reduced the
bone's osteoinductive potential and caused surface ultrastructural ch
anges. These findings raise questions concerning the suitability of et
hylene oxide for sterilizing demineralized human bone.