The paper outlined the experience of surgical treatment of 103 patients with intra-articular fractures of the proximal tibia and refined indications to adequate osteosynthesis depending on the nature of the fracture on the classification of Schatzker. Shows two groups of patients (control and basic), which compares traditional and minimally invasive osteosynthesis techniques depending on the type of fracture. Long-term anatomical and functional results were analyzed by 1 year after surgery in 103 patients - the main and control group patients according to the scale Lyscholm.