Objective To improve the effectiveness of functional exercise for patients with tibial plateau fractures. Methods A total of 82 patients undergoing internal fixation for the treatment of tibial plateau fractures were divided into a control group（n=41） and an observation group（n=41） according to hospitalization ward. The control group received conservative functional exercise, while their counterparts in the observation group were given diverse functional exercise management strategies with such characteristics as multi-faceted, multi-factor, multi-link, multi-mode and whole-process. Results The HSS score in the observation group was significantly higher than that in the control group at postoperative 1 and 3 months (P<0.01 for both). The adherence to and satisfaction with functional exercise in the observation group were significantly higher than those in the control group (P<0.05, P<0.01). Conclusion The diverse management strategies applied in patients undergoing internal fixation for tibial plateau fracture can effectively improve their adherence to functional exercise, thus to enhance the effect of functional exercise and nursing satisfaction.