The indications for surgery for medial tibial plateau fracture are collapse of the articular surface greater than 2 millimeters as well as split separation greater than 5 millimeters, and an internal and external knee valgus angle greater than 5 degrees. Medial tibial plateau fractures are fractures caused by high-energy injuries and have a relatively high incidence of disability. In general, tibial plateau fractures can be treated with two treatment options, one conservative and one surgical. The more commonly used treatment option is surgery. Medial tibial plateau fracture, which is a fracture of the articular surface, is prone to split and collapse of the articular surface of the tibial plateau of the knee joint, affecting the knee joint surface leveling and line of force, and is prone to sequelae. The indications for surgical treatment are that the articular surface collapse is greater than 2 millimeters and the articular surface split separation is greater than 5 millimeters. As well as medial tibial plateau fracture with knee internal and external rotation angle greater than 5 degrees. Anatomic repositioning of the articular surfaces, strong internal fixation, and bone grafting to restore the collapsed fracture are the three most important factors in the principle of treatment. It is recommended that specific indications for surgery for medial tibial plateau fracture can be consulted with the relevant specialized physician in the hospital.