Absorbable fixation devices have developed since first being introduced. Current products are manufactured for greater strength and stiffness and slower break down. Absorbable devices for internal fixation should not be used when fracture fragments exclusively depend on screws for bearing direct load; rather, they are preferred for maintaining adequate compression and preventing displacement when some intrinsic stability exists between bones. The main advantage of absorbable internal fixation devices is their flexibility of use. A newer generation synthesized from silk has emerged and may help to overcome current limitations and address a broader range of fixation needs.