Objective The purpose of our study was to assess the role of multi-detector CT in the evaluation of tibial plateau fractures. Subjects and methods The study included twenty patients with fractures of the tibial plateau shown on computed tomographic images. All patients subjected to non-contrast MDCT in axial cuts and images are transferred to workstation; then they underwent coronal, sagittal reconstructed images and 3-D volume rendering that are of benefit in final diagnosis. Results A total of 20 patients were included (their mean age 27 years). It was found that the most common type is type II according to Schatzker classification, followed by type I. Conclusion The use of MDCT is advised for the accurate classification of tibial plateau fractures and so the management decision.