“…When modelled in three dimensional studies, both cortical and cancellous bone are most times represented through hexahedral, eight-node elements, e.g. : (Kumaresan, et al, 1999), (Zander, et al, 2001), (Schmidt, et al, 2007), (Papaioannou, et al, 2008), (Faizan, et al, 2009), (Wolfram, et al, 2010), (Zhang, et al, 2011), (Niemeyer, et al, 2012), (Kinzl, et al, 2013), (Liu, 2014), (Lughmani, et al, 2015). Although with some disadvantages related to accuracy and excessive stiffness (Donald, 2011) (Burkhart, et al, 2013), four-node tetrahedral elements are sometimes used for modelling cortical and cancellous bone because they are very easy to use in complex geometries, e.g.…”