Different aspects concerning the use of nanocrystalline diamond (NCD) film, as coating for biomedical prostheses, is discussed. An overview is done on diamond implementation in prostheses, on the NCD mechanical properties and on the technological aspects concerning the NCD growth process ie Microwave Plasma Enhanced Chemical Vapor deposition. Then, the attention is focused on a possible improvement of NCD growth on titanium (Ti) substrate. Further, a theoretical study by finite element method is discussed in order to model the adhesion properties of a NCD layer on Ti and Ti/Titanium Carbide (TiC) substrates. The goal of the proposed work is to provide a study about the use of thin NCD coating on Ti based prostheses. The function of the NCD coating on Ti material is to improve the implanted prosthesis with a long duration time, thus decreasing the total costs and the invasive surgery treatments.