Review Article

Histological, Histomorphometrical, and Biomechanical Studies of Bone-Implanted Medical Devices: Hard Resin Embedding

Table 1

Static and dynamic histomorphometric parameters most frequently adopted for the evaluation of bone-implanted medical device.

Material total areamm2Biomaterial total area

Material total perimetermmBiomaterial total perimeter
Bone area (B.Ar)mm2Measurement of the amount of trabecular bone
Total area (T.Ar)mm2Measurement of the total amount of bone observed
Bone volume/Tissue volume (BV/TV)%Measure the percentage of spongy bone including the mineralized bone and the osteoid
Bone perimeter (B.Pm)mmLength of the observed bone surface
Bone surface/tissue volume (BS/TV)mm2/mm3Measure the percentage of spongy bone surface
Trabecular thickness (Tb.Th)µmThickness of trabeculae derived from the Parfitt formula
Trabecular number (Tb.N)mm−1Number of trabeculae per surface unit
Trabecular separation (Tb.Sp)µmMeasure of the distance between the bone trabeculae
Affinity index or bone-to-implant contact (BIC)%Length of the areas of direct osseointegration without fibrous capsule interposition
Bone ingrowthmm2Bone area between the screw and the line that connects the top of the coils/the total area below the top of the coils
Mirror areamm2Specular image to bone ingrowth
Cortical thickness (Ct.Th)µmCortical thickness
Mineral apposition rate (MAR)µm/dayAverage velocity at which individual osteoid lines are mineralized
BFR/BSµm3/µm2/dayAmount of mineralized bone formed per unit of trabecular bone surface per day