Introduction: Tibial plateau fractures are one of the common fractures that occur near the knee. These fractures are mainly due to high-velocity injuries. So, there is a high risk of ligamentous and meniscal injuries. It is always important to identify associated ligamentous and/or meniscus injuries in tibial plateau fracture that can change the treatment plan. This study aims to assess the association of ligamentous and/or meniscal injuries in patients with tibial plateau fractures. Materials and methods: This prospective observational study was conducted in the Department of Orthopaedics in B&B Hospital from September 2021 to May, 2022. 40 patients who meet the inclusion criteria were included in the study. All tibial plateau fractures were classified according to the Schatzker classification. MRI was reported by a single radiologist with a fellowship in musculoskeletal radiology. MRI findings were recorded and an association was studied with different types of tibial plateau fractures. Results: Out of 40 patients, 36(90%) patients had ligamentous and/or meniscal injuries. The mean age of the patients was 38.9 years. The majority of the cases were due to road traffic accidents. 40% of the cases had ligamentous injuries only, 15% had meniscal injuries only and 35% had both ligamentous and meniscal injuries. Among ligamentous injuries (isolated or combined), ACL injury was common (77%). Among meniscus injuries (isolated or combined), lateral meniscus injury was common (70%). Schatzker type II fracture had a high association with ligamentous and/or meniscal injuries.Conclusion: Tibial plateau fracture is commonly associated with ligamentous and/ or meniscal injuries.