The increasing prevalence of tibial plateau fractures has led more orthopedic surgeons to focus on effective reduction and stabilization, which requires thorough preoperative assessment. The advent of computed tomography (CT) scans and three-dimensional reconstruction has revolutionized fracture analysis, enabled precise delineation, and improved surgical planning. Historically, the tibial plateau classification based on 2D radiographs was the standard. However, the use of CT imaging has refined this with advancements in imaging, which categorizes fractures based on anatomical columns and cortical involvement. Recently, the classification has also included landmarks like the fibular tubercle and superficial medial collateral ligament, providing a more comprehensive quadrant-based classification. In practice, we utilized a single-incision approach to address anterolateral and posterolateral fragments simultaneously. This technique is recognized for its safety, minimizing risks to vital structures like the peroneal nerve and arteries. By preserving ligament integrity and neurovascular structures, tailored surgical approaches can optimize outcomes. Integrating advanced imaging techniques and refined classifications has significantly improved the management of tibial plateau fractures. These advancements allow surgeons to plan and execute surgeries with greater precision, enhancing patient outcomes. As the field evolves, ongoing research and innovation will likely lead to even more effective strategies, underscoring the importance of staying current with the latest orthopedic developments for optimal patient care.