Introduction: The aim of study was to analyze the methods of surgical management of patients with tibial plateau fractures treated in Orthopedics and Traumatology Clinic ‘‘V. Betisor’’ durind 2014-2016 years. Material and Methods: We analyzed 85 clinical cases: men—32 and women—53, mean age 53 years. Trauma circumstances: habitual trauma—60 cases, traffic accident—15, precipitation—6, sport—3, aggression—1. For cohort analize Schatzker classification was used: especially type Iwasmeet in 9 cases, II—22, III—11, IV—3,V—26,VI— 14; 81 close, 4 open. For paraclinic examination were used X-ray and CT. Surgical management consisted of: close reduction, internal fixation—10 cases (8- percutaneus canulated screws arthroscopic assisted, 2-external fixator), open reduction, internal fixation—75 cases. Bone graft was done in 15 cases. Results: Postoperative follow up was performed at 6, 12, 18, 24 weeks. Patients were evaluated according to the Lysholm Knee Scoring Scale, obtaining an average score of 88 points. Bone healing was achieved in a period of between 12 to 18 weeks. Postoperative