An osteoimplant composite comprising a plurality of particles of an
inorganic material, a bone substitute material, a bone-derived material,
or any combination thereof; and a polymer material with which the
particles are combined. The composite is either naturally moldable or
flowable, or it can be made moldable or settable. After implantation, the
composite may be set to provide mechanical strength to the implant. The
inventive composite have the advantage of being able to fill irregularly
shape implantation site while at the same time being settable to provide
the mechanical strength required for most orthopedic applications. The
invention also provides methods of using and preparing the moldable and
flowable composites.