In the last 3 decades, much progress has been made in the development of bi
odegradable osteosyntheses, Despite this progress, these materials are stil
l only used in small numbers, and the scope of their application has been l
imited. The limitations of biodegradable osteosyntheses mainly are related
to problems with their mechanical properties and, in particular, biocompati
bility, These problems need to be solved so that biodegradable osteosynthes
es can perform up to their full potential and thus, eventually, make their
general clinical application routine. This paper presents a historical pers
pective on the development of biodegradable osteosyntheses, discusses the s
uccessful developmental achievements and the still-existing problems, and g
ives a perspective on their future development.