A three-dimensional finite analysis of adaptive remodelling in the proximal femur

A finite element analysis of adaptive bone remodelling in the proximal femur is presented. The use of a three-dimensional model permits a realistic representation of femur geometry, and also allows the possibility of examining the effects of fully three-dimensional loading situations. The long-term pattern of remodelling shows a realistic evolution of density distribution, with a tendency towards a steady state, though the simplified load cases used to model gait are not sufficient to predict the formation of the cortical shell.