The aim of treating a tibial plateau fracture is to gain a stable, pain free knee motion, and to repair all associated lesion. Recently a preferred treatment is the open reduction and internal fixation of all displaced and unstable tibial plateau fracture in order to gain anatomic reduction and early knee motion. But functional recovery is relatively impaired in complex knee trauma, despite various treatment modalities. Observations based on long-term radiologicexaminations frequently did not correlate with the functional end results. When choosing the treatment modalities, there are many factors to consider which will influence the final results.