The tibia plateau fractures are more common and severe than past decade because of increased traffic accident and industrial injury recently There are many argument about treatment of tibla plateau fractures, but the main goal of treatment Is to achived a stable, well-a-ligned, movable joint with minimum surface irregularities and with adequate soft tissue healing.

The authors analyzed the 38 cases of the tibia plateau fractures treated at the Department of Orthopedic Surgery, Seoul Adventist Hospital from 1987 to 1992, to know the relationship between the type of fracture, treatment, and the results. The fallowing results were obtained.

1. The incidence Is more frequent in male and fifth decade was the most popular.

2. The most common cause of injury was traffic accident.

3. The most affrected site was left(26 cases) and lateral condyle(25 cases).

4. The most common fracture type acording to the Hohls classification were undisplaced and communited type of fractures.

5. 14 cases were treated with conservative method and 24 cases were treated with surgical method and 75% of patient which were treated with conservative, 86% of patient which were treated with surgical method, obtained satisfactory result according to Brokkers evaluation

6. The factors of poor results were as follow, communited fracture in Hohls classification, associated with severe other part of fracture, with severe soft tissue injury, or with ligament and meniscal injury.