**7. Conclusion**

This kind of articular fractures requires perfect alignment of fracture's fragments. It is difficult to treat these fracture especially type V and type VI Schatzker.

Beside the standard treatment with one or two plates and screws, one could use the reduction of the fracture's fragment with K wire under Xray and arthroscopic control, and then fix the fragments with K wire and screws. First of all it is important to establish the fracture's type. Schatzker classification is commonly used for their identification. The preoperative planning is necessary and also the X-ray and CT scan. For this technique different kind of material is used: K wire, screws, external fixation, fluoroscope, and arthroscopy.

The role of arthroscopy in these fractures is twofold: 1. To confirm the quality of a good reduction, 2. To accurately asses and treat the associated lesions of the soft tissue – menisci, cruciate ligaments, capsular disruption.

This minimal invasive technique is useful for the treatment of this kind of fractures and in most cases has good outcome.

Good results are obtained by using this method ( Cristea et al., 2010) in the surgical treatment of tibial plateau fractures. This technique is adapted to resolve all tibial fractures type, not only Schatzker I – III, like some authors ( Siegler et al., 2011 ).

The advantages of this method are: minimal blood lost, small infection rate, good mobilization of the knee without pain, cheaper implants, reproductibility of the technique, it can be made in emergency, cost - efficient.

A single dose of antibiotics is admninistrated during surgery and anticoagulant for thrombembolism prophylaxis is done.
