Proximal tibia fractures are one of the commonest intra-articular fractures. Mechanism of injury usually is indirect coronal or direct axial compressive forces. Incidence of proximal tibial fractures is 1% of all fractures and 8% of the fractures in elderly. Most injuries affect lateral tibial condyle (55 to 70%) and isolated medial condyle fractures occur in 10 to 23% whereas the involvement of both condyle fractures is found in 10 to 30% of the reported series. Every different fracture type has its own characteristic morphology and response to the treatment. Apart from tibial plateau bony injury, meniscal tear and other ligament injuries of knee need to be assessed.