近年来随着众多学者对胫骨平台结构的更深认识以及损伤机制的深入研究，针对胫骨平台骨折的治疗标准正日益提升，技术不断更新。在胫骨平台骨折的治疗中，关节镜技术展现出了多方面的优势，如创伤小、便于处理伴随损伤以及恢复迅速，因此得到了快速发展，并逐渐成为治疗胫骨平台骨折的重要手段。该术式通过关节镜下直接视野监视胫骨平台关节面复位固定，更准确地评估关节面的复位情况，并便于同时处理伴随的半月板损伤等问题，具有创伤小、恢复快等优点，临床疗效肯定，满意度高。但该术式存在一定的手术操作难度以及骨筋膜室综合征等风险，仍需慎重，尤其对于关节镜操作技术还不熟练的医生。本文着重对关节镜治疗胫骨平台骨折的适应证选择、手术方法与技巧、临床疗效、并发症等几个方面作一综述。

In recent years, with the deeper understanding of the structure of the tibial plateau and the in-depth study of the injury mechanism, the treatment standards for tibial plateau fracture are improving day by day, and the technology is constantly updated. In the treatment of tibial plateau fracture, arthroscopy has shown many advantages, such as small trauma, easy to deal with the accompanying injury and rapid recovery,so it has been rapidly developed and gradually become an important means to treat tibial plateau fracture.This method can more accurately evaluate the reduction of the articular surface of the tibial plateau through direct visual field monitoring under arthroscopy, and is convenient to deal with the accompanying meniscus injury and other problems at the same time. It has the advantages of less trauma and quick recovery, and the clinical effect is positive and the satisfaction is high. However, due to the difficulty of operation and the risk of osteofascial compartment syndrome, this procedure still requires caution, especially for doctors who are not skilled in arthroscopic operation. This article focused on the arthroscopic treatment of tibial plateau fracture in the selection of indications, surgical methods and techniques, clinical efficacy, complications and so on several aspects of review.