M. Morita et al., PROGRESSION OF OSTEOPOROSIS IN CANCELLOUS BONE DEPENDING ON TRABECULAR STRUCTURE, Annals of biomedical engineering, 22(5), 1994, pp. 532-539
Progression of osteoporosis is caused by a decline in bone formation a
ctivity relative to the resorption activity. In this paper, the author
s carried out a theoretical analysis of the progression of osteoporosi
s to estimate the osteoporotic change in the upper end of the femur. A
ccording to this analysis, the progression rate of osteoporosis in can
cellous bone depends on the product of remodeling activity, R(act), an
d the trabecular structure parameter, K-tr. To confirm that the theore
tical results were reasonably comparable to actual osteoporotic change
, these two factors were measured in rabbits. From the results, it was
concluded that the highest progression rate was shown in bar/bar-like
trabecular structure (type 3); the next highest rate, was shown in pl
ate/bar-like structure (type 2); and the plate/plate-like structure (t
ype 1) was the most insensible. Furthermore, the bone volume fractions
of cancellous bone were measured at the upper end of human femurs wit
h and without osteoporosis. Then the measured value was compared with
the theoretical value for each type of trabecular structure. Results s
howed that the decrease in bone volume fraction predicted by Eq. 7 was
well in accord with the actual decrease.