赵森 　杨自权　卫小春

Tibial plateau fractures belong to intra-articular fractures of the main weight-bearing joints of lower limbs. Traumatic osteoarthritis of the knee is mainly caused by articular surface collapse, joint deformities and joint instabilities after fractures. Therefore, the ideal target in the treatment of tibial plateau fractures is to obtain stable and painless knee joints with good counterpoint and alignment and normal range of motion, and to minimize the occurrence of traumatic osteoarthritis. In recent years, the widespread use of arthroscopic technique promotes the new progress in the diagnosis and treatment of tibial plateau fractures. In this article, the application of arthroscopy in the diagnosis and treatment of tibial plateau fractures was introduced, including the classification of tibial plateau fractures, indications and contraindications of arthroscopic surgery, prevention and management of special problems of arthroscopic-assisted treatment of tibial plateau fractures and advantages and limitations of arthroscopic-assisted treatment of tibial plateau fractures versus traditional open reduction and internal fixation. The progress of arthroscopy in the diagnosis and treatment of tibial plateau fractures was summed up, so as to provide reference for the clinical diagnosis and treatment of tibial plateau fractures.