The tibial plateau fracture often produce some disabilities of the knee joint because it is the intraarticular fracture and often associated with soft tissue, ligament and meniscal injury. The authors analyzed 42 cases of the Tibial Plateau fractures, which were treated at the department of orthopaedic surgery, Seoul Adventist Hospital from 1992 to 1997, to know the releationship between the type of fracture, the methods of treatment, and the results. The results were summerized as follows; 1. The most common fracture type by Schatzker classification was type I(18 case 42.9%). 2. Sixteen cases among of 42 cases were treated with conservative treatment, and 26 cases were treated with operative method 3. The clinical result according to Blokker method, acceptable were 34 cases (81.0%) and unacceptable were 8 cases (19.0%) 4. The complications were limitation of range of motion(4 case), peroneal nerve palsy(2 case), posttraumatic arthritis(1 case), wound infection(1 case).