Objective: To investigate the clinical effect of two-way traction closed reduction and minimally invasive treatment for Schatzker type II~III tibial plateau fractures. Methods: 43 cases of Schatzker patients with type II~III of tibial plateau fracture from July 2013 to June 2015 in our hospital were retrospectively analyzed . According to different treatment methods, objects were divided into two groups. Patients of group A were treated with two-way traction closed reduction and minimally invasive treatment, patients of group B were treated with traditional open reduction treatment. The time of surgery, the size of the incision, the amount of bleeding, the degree of tissue injury, the time of postoperative bed activity were compared. The knee joint function was evaluated at 3, 6 and 12 months after surgery. Results: The time of surgery, the size of the incision, the amount of bleeding, the degree of tissue injury, the time of postoperative bed activity of A group were better than that of B group (P<0.05). The time of full weight bearing functional training of the two groups had no significant difference (P>0.05). The knee function at 3, 6 and 12 months had no significant difference (P>0.05). Conclusion: Two-way traction closed reduction and minimally invasive treatment of Schatzker II~III tibial plateau fracture has curative effect, short operation time, less tissue damage, less blood loss during operation, and helps get out of bed earlier and so on.