Composite materials have been widely promoted as possible orthopaedic
biomaterials but to date have found few successful commercial applicat
ions, 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. T
he use of composite materials allows many new design possibilities, bu
t this freedom of design requires a clearer understanding of the objec
tives and constraints on the design process. The testing of composite
components also presents many challenging problems, which are not adeq
uately addressed by existing standards developed for testing conventio
nal 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 ma
ny intractable difficulties. However, despite these challenges composi
te materials are likely to prove invaluable in the future development
of orthopaedics. (C) 1998 Published by Elsevier Science Ltd. All right
s reserved