Introduction:

Complex fractures of the pelvic limbs, increase annually, within these, are the fractures of the tibial plateau.

Clinical case:

21-year-old male with complex tibial plateau fracture, treated with osteosynthesis under arthroscopic vision, observing as arthroscopic finding, meniscal desinsertion, managed with 8 meniscal sutures in total, for anterior and posterior horn. The tibial fracture was treated with 3.5 mm locking compression plate (LCP) blocked proximal plate and bone graft, 44 post-surgical days, the patient walks without problem with good knee movement.

Conclusions:

Tibial plateau fracture reductions when there’s articular involvement, should be made under arthroscopic surveillance to observe the joint congruence of the meniscus and, where appropriate, perform meniscal rescue.