Abstract: The posterolateral condyle fracture of tibial plateau is a very special type of tibial plateau fracture. Owing to the complexity of anatomy in lateral part of knee joint and the larvaceous location of the fracture with the adjacent fibula blocked, it has not reached a concensus about the best surgical approach and accurate fixing method worldwide. This review provides strategy for clinical treatment concentrating on the progress of surgical approach to posterior lateral condyle of tibial plateau, which contains posterior median approach, fibular osteotomy of posterolateral approach, posterolateral approach through knee etc.