الفهرس 
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Abstract
Tibial plateau fractures represent 1% of the fractures of the human body and 8% of the fractures of the elderly.
Tibial plateau fractures occur as a result of high-velocity injuries or low-velocity injuries, and the cause is usually the collision of the thigh bone with the upper articular surface of the shin bone in the presence of multiple degrees of medial or lateral flexion of the knee joint.
There is a close relationship between fractures of the tibial plateau and injuries of the meniscal cartilage and the cruciate ligament of the knee, so that one cannot be dealt with in isolation from the other.
X-ray examination is still considered the primary ideal method for diagnosing most injuries of the knee joint. However, regular X-rays cannot diagnose the degree of displacement in tibial plateau fractures and the diagnosis of soft tissue injuries always associated with these fractures. Therefore, CT scans or magnetic resonance imaging are resorted to.
Over the years, several methods have been developed to classify plateau fractures, and all of these classifications depend on the location of the fracture and the degree of its displacement.
Schatzker’s classification is considered one of the best ways to classify plateau fractures of the tibial plateau, as it gives accurate information about the mechanism of fracture occurrence and gives preliminary indications of the available treatment methods and expected results, in addition to its ease of use and remembering its names.
The permanent goal in the treatment of tibial plateau fractures is to obtain a straight, stable, pain-free knee joint, with sufficient range of motion from a functional point of view, and to reduce the risk of knee roughness or complications.
Several methods are available to treat and stabilize tibial plateau fractures, including conservative treatment and surgical treatment.
As a result of the tremendous development in the vision system through lenses and the development of optical fibers in recent times, the use of the knee endoscope appeared as a compromise between conservative treatment and surgical treatment in order to benefit from the advantages of conservative treatment and reduce the risks of surgical intervention.
One of the main advantages of this new method is to improve the ability to map the fracture from the inside, reduce the length of stay in the hospital, and reduce the risks that result from the dissection of soft tissues.
In addition, it helps to diagnose and treat soft tissue injuries associated with these fractures.
At the same time, this method of treatment is not free of risks and complications.
It also requires special experience with knowledge of the skills necessary to use the therapeutic and diagnostic knee arthroscopy.
This new method cannot completely replace surgical intervention, but rather work side by side to obtain the maximum benefit in treating the fracture with it reducing the rate of complications, which is ultimately reflected in the interest of the patient.