Tibial plateau fractures are common and severe joint lesions which usually require surgical fixation. They may cause severe postoperative pain and require long hospitalization to provide effective analgesia and to start an appropriate rehabilitation. Specific programs of post-operative rehabilitation are necessary for acceptable recover. Nowadays, well established specific rehabilitation protocols do not exist and treatment is often experience-based. This chapter focuses on physical therapy and on the rehabilitation techniques after tibial plateau fractures; also, it evaluates the effectiveness of the most common techniques.