Composite technology in load-bearing orthopaedic implants.

Composite materials have been widely promoted as possible orthopaedic biomaterials but to date have found few successful commercial applications, due to the many challenging problems presented by their design, fabrication and testing. The range of possible composite biomaterials is reviewed, together with the possible methods of fabrication and the limitations that these place on the design of composite components. The use of composite materials allows many new design possibilities, but this freedom of design requires a clearer understanding of the objectives and constraints on the design process. The testing of composite components also presents many challenging problems, which are not adequately addressed by existing standards developed for testing conventional monolithic materials. The interaction of composite materials with the body is more complex than that of the component materials, and the prediction of their long-term mechanical performance also presents many intractable difficulties. However, despite these challenges composite materials are likely to prove invaluable in the future development of orthopaedics.