In order to reduce spongious bone autografts and cortical bone allografts d
isadvantages in orthopaedic surgery, different bone substitutes such as cal
cium phosphate ceramics have been proposed. These ceramics are biocompatibl
e and osteoconductive, according to the concept of dissolution - precipitat
ion - resorption - bone substitution, because of their physico-chemical cha
racteristics. Those remain good bone substitutes providing that their physi
co-chemical characteristics are compatible with bone ingrowth and that basi
c principles are respected, among which close contact with adjacent bone an
d mechanical stability.