“…Recent advances in basic bone biomechanics proved the effectiveness of strain-based criteria to describe yield or failure of bone tissue (at least in normal bone, showing normal degree of mineralisation and no genetic alterations): bone failure has been shown to be driven by deformation (Nalla et al, 2003;Taylor, 2003), there is a growing consensus on the substantial isotropy of yield strain and on its invariance to density (Bayraktar et al, 2004b;Chang et al, 1999;Cowin and He, 2005;Currey, 2004;Kopperdahl and Keaveny, 1998), and a strain-based criteria managed to well fit mono-and multi-axial experimental data (Bayraktar et al, 2004a). Thus, it seems advisable to implement strain-based criteria in FE models of bone for the prediction of fracture risk.…”