Titanium (Ti) and its alloys are widely used biomaterials
in bone
repair. Although these biomaterials possess stable properties and
good biocompatibility, the high elastic modulus and low surface activity
of Ti implants have often been associated with infection, inflammation,
and poor osteogenesis. Therefore, there is an urgent need to modify
the surface of Ti implants, where changes in surface morphology or
coatings loading can confer specific functions to help them adapt
to the osseointegration formation phase and resist bacterial infection.
This can further ensure a healthy microenvironment for bone regeneration
as well as the promotion of immunomodulation, angiogenesis, and osteogenesis.
Therefore, in this review, we evaluated various functional Ti implants
after surface modification, both in terms of static modifications
and dynamic response strategies, mainly focusing on the synergistic
effects of antimicrobial activities and functionalized osteogenic.
Finally, the current challenges and future perspectives are summarized
to provide innovative and effective solutions for osseointegration
and bone defect repair.