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Published online by Cambridge University Press: 26 February 2011
Biological responses to synthetic materials used for the construction of surgical implants often determine device longevities. Over the past two decades, individuals from basic and applied disciplines have attempted to better understand the phenomena associated with biomaterial to tissue interfaces and to better control the surface and bulk properties of the synthetic substances for each area of device applications. Surface properties of metals, polymers, ceramics and composites are reviewed and where possible, correlated with tissue responses. Specific examples of solid and porous titanium and cobalt base alloys are presented to demonstrate the importance of surface and bulk properties with respect to biocompatibility.