Add to ORKGA method is presented that allows for a complete mechanical evaluation of trabecular bone architecture directly from three-dimensional computer reconstruction images. With this method, the reconstruction images are used as a basis for microstructural FE-analyses. From the results of these analyses the full stiffness matrix of bone specimens is obtained, using a standard mechanics approach. An optimization procedure is then used to find the best orthotropic representation and principal directions of this matrix. The method is demonstrated here relative to two trabecular bone specimens. With the development of in vivo reconstructions and the methods demonstrated here, even in vivo measurements will be possibl