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Microindentation testing and electron probe microanalysis
of cancellous bone


A.M. Coats, P. Zioupos and R.M. Aspden. Material properties of subchondral bone from patients with osteoporosis or osteoarthritis by microindentation testing and electron probe microanalysis.
Calcified Tissue International 73: 66-71, 2003
DOI: 10.1007/s00223-002-2080-8

Cancellous bone from patients with osteoarthritis (OA) has a reduced material density and appears to be undermineralized. It is hypothesized that this will result in a reduction in the mechanical stiffness and strength of the bone matrix. In this study, bone was obtained from superior and inferior sites, subjected to relatively high and low loads respectively, from human femoral heads retrieved after surgery for osteoporotic hip fracture (OP) or for hip arthroplasty due to osteoarthritis (OA). Microindentation testing was used to measure the hardness of cancellous bone at various depths from the subchondral bone plate (Fig. 1). The elemental composition from immediately adjacent microscopic sites was determined using electron probe microanalysis (EPMA). Overall, OA bone was found to have hardness values that were 7% lower than those from OP bone (Fig. 2). Bone from the inferior site was harder than that from the superior in both diseases except in female OP patients. There was no variation with depth below the subchondral plate. and no difference between sexes. No difference was found in the composition of the bone from the different disease groups and no correlation was found between hardness and any of the composition measurements. Though only an indirect measurement of stiffness, the reduction in hardness values support the hypothesis that OA bone has a reduced elastic modulus.

 

Fig 1. Electron micrograph of a sample of cancellous bone from a patient with OP showing an indentation made in the subchondral bone plate. EPMA data were recorded from sites immediately adjacent to, but not on, each indentation site. The darker marks surrounding the indentation are pores in the bone and care was taken to avoid these, and other less visible defects, for EPMA measurements. Fig 2. Hardness values (mean and standard deviation) measured by microindentation shown by sex and site. The global values for OA and OP are shown with error bars representing the standard deviation.