The target of tibial plateau fracture management is to obtain an anatomical reduction and an early knee mobilization. Balloon tibioplasty is a new minimally invasive technique adapted for reduction of depressed tibial plateau fracture and it represents a surgical method to restore the cartilage surface. The advantages of balloon tibioplasty are: minimally invasive technique and creation of symmetric space inside the proximal tibia bone that reduces stresses on the fracture. The bone gap above the tibia plateau is filled with ceramic bone cement through a small cortex bone window. It is a technique that requires a correct learning curve, but it may be a useful tool that makes the reduction of selected depressed tibial plateau fractures easier.