Titanium (Ti) and its alloys are widely used in orthopedic applications, including total hip and knee replacements, bone plates, and dental implants, because of their superior biocompatibility, bioactivity, corrosion resistance, and mechanical robustness. These alloys effectively overcome several limitations of conventional metallic implants, such as 316L stainless steel and Co-Cr alloys, particularly with respect to corrosion, fatigue performance, and biological response. However, dense Ti alloys possess a relatively high elastic modulus, which can cause stress shielding in load-bearing applications. This challenge has motivated significant research toward engineered porous Ti structures that exhibit a reduced and bone-matched modulus while preserving adequate mechanical integrity. This review provides a comprehensive examination of powder metallurgy and additive manufacturing approaches used to fabricate porous Ti and Ti-alloy scaffolds, including additive manufacturing and different powder metallurgy techniques. Processing routes are compared in terms of achievable porosity, pore size distribution, microstructural evolution, mechanical properties, and biological outcomes, with emphasis on the relationship between processing parameters, pore architecture, and functional performance. The reported findings indicate that optimized powder-metallurgy techniques can generate interconnected pores in the 100–500 μm range suitable for osseointegration while maintaining compressive strengths of 50–300 MPa, whereas additive manufacturing enables the precise control of hierarchical architectures but requires careful post-processing to remove adhered powder, stabilize microstructures, and ensure corrosion and wear resistance. In addition, this review integrates fundamental aspects of bone biology and bone implant interaction to contextualize the functional requirements of porous Ti scaffolds.

Nature has created a unique combination of materials, and the design and material compositions used in nature are not successfully employed for industrial applications. Metallic multimaterials (MMMs) are a unique class of materials that combine the properties of various metallic constituents (both matrix and reinforcement(s)) to improve the functionality, performance in real-time, and application spectrum. Accordingly, this study explores the fabrication perspective of MMMs by combining both additive manufacturing (AM) and powder metallurgical (PM) routes. Ti6Al4V structures were fabricated via the laser powder-bed fusion (LPBF) process, and the reinforcement powders were added into the spark plasma sintering (SPS) mold where the Ti6Al4V structures were placed. Different reinforcement compositions including Mg, Al, Fe, Ni, and Cu were explored. Since the present study is focused on the variation of hardness, the hardness profile of the MMM composite was explored showing a sinusoidal trend. This study stands as a testimonial of fabricating MMM composites via a combination of AM and PM processes.