Tibial plateau fractures are one of the commonest periarticular fractures in the knee joint. Each fracture type has its own morphology, treatment considerations and prognosis. Apart from bony injury, meniscal tear and ligament injuries and soft tissue envelop compromise are associated with this type of fractures. The treatment of tibial plateau fractures has completely changed from conservative treatment with casting to anatomical reduction and surgical fixation. Successful results depend on anatomical reduction, restoration of ligamentous stability, treatment of concomitant injuries and preservation of soft tissue envelope. We analyzed Arthroscopy–assisted fixation to improve the quality of the articular surface reduction and fixation. In our prospective study 18 patients with tibial plateau fractures classified according to Schatzker classification who got admitted in our Institute of Orthopaedics and Rajiv Gandhi Govt General Hospital were included for Arthroscopy assisted reduction and fixation of tibial plateau fractures. A total of 17 patients were available for evaluation of final outcome by Modified Rasmussen criteria Clinical and Radiological assessment. This study found excellent to good results as per Modified Rasmussen’s clinical and radiological score at short term follow up in all Schatzker types of tibial plateau fractures.