The use of polymeric materials in orthopedics is becoming increasingly important. Polylactide (PLA) has the necessary set of properties for use in this area. In particular, the ability to degrade in biological fluids allows avoiding repeated surgery to remove a PLA implants. The addition of various fillers can affect the change in mechanical, structural and biological characteristics. In this paper, the effect of the biodegradation process on PLA-based composites with the addition of HA and SiO2 particles was studied. The biodegradation process in this study was carried out for 4 weeks in two environments: phosphate buffered saline (PBS) and fetal bovine serum (FBS). The mechanical characteristics of the materials were reduced after biodegradation, while the degradation rate increased with an increase in the concentration of the additive. The study of the material biocompatibility showed that their extracts did not induce cytotoxicity. The PLA-based composites more actively stimulated the adhesion of cells with osteogenic potential after incubation in FBS. In combination with good biocompatibility, it indicates the prospects of using implants for the reparation of bone defects.