Tibial plateau fractures, caused by valgus or varus impact with axial compression or torque force, result in complex injuries of the intra-articular and metaphyseal aspect of tibia. These fractures can lead to intra-articular chondral damage, meniscal tear, ligament rupture etc. Treatment choice depends on fragment displacement, subchondral bone involvement, injury severity, associated injuries, and patient characteristics. Successful treatment mandates anatomical reduction, stable fixation, minimal invasiveness, and restoration of postoperative range of motion. Inadequate treatment may lead to pain, joint instability, restricted motion, and substantial disability. Comprehensive understanding of the fracture is crucial for effective management. Surgical strategies aim to achieve for meticulous fracture reduction while minimizing morbidity and avoiding additional damage. Traditionally, open reduction and internal fixation (ORIF) using plates and screws has been a standard treatment. However, ORIF is associated with complications such as infections, stiffness, pain etc. Arthroscopically assisted reduction with percutaneous internal fixation (ARIF) has emerged as a promising alternative, offering lower morbidity, precise reduction assessment, improved intra-articular lesion treatment, shorter hospital stays, lower infection rates, and better functional scores compared to ORIF.