the surgery usually involves reducing the fractured fragments of the tibia plateau to their anatomical position and fixing them in place with screws only or fixed angle anatomical plates ensuring absolute stability. implant selection is based on the type of injury. generally, simple or incomplete fractures (schatzker type 1) of the plateau are compressed with 6.5mm partially threaded cancellous screws. complex type fractures will require a plate for enhanced stability. as the tibia condyles articulate with the femur (thigh bone) to form knee joint, any incongruity in the articular surface is unacceptable as it leads to early arthritis. prolonged immobilization of the knee joint is also not recommended which result in stiffness of the joint and difficult recovery.