A thorough understanding of the microstructure of cancellous bone is crucial for diagnosis, prophylaxis, and treatment of agerelated skeletal diseases. Until now, little has been known about age-related variations in the microstructure of peripheral cancellous bone. This study quantified age-related changes in the tliree-dimensioiial (3D) microstructure of huiiian tibial cancellous bone. One hundred and sixty cylindricul cnncellous bone specimens were produced from 40 normal proxinial tibiae froiii 40 donors, aged 16-85 years. These speciiiiciis were micro-computed tomography (inicro-CT) scanned, and microstructural propei-tics werc dctcrinincd. The specimens were h e n tested in compression to obtain Young's iiioduliis.The degree of anisotropy, mean marrow space volume, and bone surface-to-volume ratio increased significantly with age. Bone volunie fraction, mean trabecular volume, and bone surface density decreased significantly with age. Connectivity did not have a general relationship with age. Bone voltiine fraction together with anisotropy best predicted Young's modiilus. Age-related changes in the microstructural properties had the same trends for both iiiedial and lateral condyles of the tibia. The observed increase of anisotropy and constant connectivity suggest a bone remodeling mechanism that may reorient trabecular volume orientation in aging tibial cancellous bone. The aging trabeculae align more strongly to the priinary direction -parallel to the tibial longitudinal loading axis. 0 2002 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.
liitroductioiiTlie incidence of age-related skeletal diseases, such as osteoartlirosis [ 171 and osteoporosis [ 19,301 has increased in the past two decades, as a result of an increase in tlie elderly population and a change in lifestyle. These diseases are major health care problems in t e r m of socio-econoinic costs. A tlioi-ougli understanding of agerelated changes in tlie microstructure of caticellous bone is crucial for diagnosis, prophylaxis, a i d treatmcnt of these age-related skeletal diseases, and for the design, fixation and durability of joint prostheses.Previous investigations 011 the microstructure of cancellous bone have demonslrated significant agere la ted changes i ii ca ~icellous bone micros t r tic t u ra 1 parameters, such as bone volume fraction and bone [I ,29,3 1,341. but one study includes femoral cancellous bone [20]. However, tlie method used in this latter study [10] has been recognized to bc subject to serious limitations [9,24]. Therefore, no gencrnl coticlusions for age-related variations in the microstructure of human peripheral cancellous bone are available.