For special advanced applications in medicine biomaterials can be tailor-ma
de as composites if a single material is not able to fulfill the various re
quirements. In most cases a functional surface layer, which may have the re
quired physical, mechanical, or biological properties, covers a structural
material: titanium and its alloys for preference. Three classes of composit
es based on titanium materials offer special properties: Ti/porous Ti compo
sites have special mechanical properties for isoelastic implants; Ti/cerami
c composites show special biological properties used for improved osseointe
gration of the implants; and the special physical properties of Ti/ceramic
composites makes them suitable for heart pacemaker leads.