Abstract: Proximal tibia fractures make for 5–11% of tibial fractures and 1.2% of total fractures. High-energy trauma causes tibial plateau fractures (Schatzker type V and VI). Due to the stress and soft tissue injury frequency, problems are common. Optimal Schatzker type V and VI tibial plateau fracture therapy is disputed and difficult. There is no established therapeutic procedure. Though open reduction and internal fixation reduce and stabilize these fractures. In recent years, proximal tibial fracture therapy has changed. Treatment still aims for stability, mechanical axis restoration, and smooth articular surfaces, but procedures have improved. Technical advances in CT and MR imaging have improved three-dimensional damage diagnosis. Proximal tibia fractures make for 5–11% of tibial fractures and 1.2% of total fractures. Knee fracture pattern depends on force amount, kind, and direction. Complex tibial plateau fractures are one of the most complex orthopaedic surgery difficulties, and their management remains disputed Can be divided into 4 categories by knee forces