Tibial plateau fractures are always a complex fracture in terms of reduction, various methods of fixations depending upon the fracture pattern and the soft tissue condition and finally the various complications due to the fractures itself and due to the surgery. The major complications includes delayed wound healing, infections, delayed rehabilitation and progression to osteoarthritis, whereas dreadful complications of these fractures are vascular injury and acute compartment syndrome. These complications are attributed to the increased intra compartmental pressure. Thus relieving the pressure will prevent and reduce these complications. In our study we compare the outcome of fracture fixation with or without the percutaneous fasciotomy.