Introduction:
The application of bioinspired nanocomposites in orthopedic implants marks a significant innovation in biomedical engineering, aimed at overcoming long-standing limitations of conventional implant materials. Traditional implants frequently suffer from poor osseointegration, mechanical mismatch with bone, and vulnerability to infection. Bioinspired nanocomposites, modeled after the hierarchical structures found in natural tissues such as bone and nacre, offer the potential to enhance mechanical performance, biological compatibility, and implant functionality.

Methods:
This study reviews and synthesizes current advancements in the design, fabrication, and functionalization of bioinspired nanocomposite materials for orthopedic use. Emphasis is placed on the integration of nanocrystalline hydroxyapatite (nHA), carbon nanotubes (CNTs), titanium dioxide (TiO₂) nanotubes, and other nanostructured coatings that mimic the extracellular matrix. Methods include comparative evaluations of mechanical properties, surface modifications for biocompatibility, and analyses of antibacterial efficacy through nano-topographical features.

Results:
Bioinspired nanocomposites have been shown to improve osteoblast adhesion, proliferation, and differentiation, thereby enhancing osseointegration. Nanostructured coatings such as TiO₂ nanotubes increase surface hydrophilicity and corrosion resistance, supporting long-term implant stability. Mechanically, these composites offer high stiffness, superior wear resistance, and improved strength-to-weight ratios. Biomimetic combinations of hydroxyapatite, zirconia, and biopolymers have demonstrated effective load transfer and reduced stress shielding. Additionally, antibacterial functionality has been achieved via nanostructured surfaces that deter bacterial adhesion while remaining cytocompatible with host tissues.

Conclusions:
The integration of bioinspired nanocomposites into orthopedic implants provides a multifunctional platform for enhancing clinical outcomes. These materials not only replicate the mechanical and biological properties of native bone, but also introduce new capabilities such as infection resistance and stimuli-responsive behavior. Despite these advancements, challenges including manufacturing scalability, long-term durability, and regulatory compliance remain. Continued interdisciplinary research is essential for translating these innovations from laboratory to clinical practice.