The present invention provides a tibial guide plate for total knee joint replacement surgery and a method for using the same. The bone groove runs through one end of the tibial guide plate body, and the tibial osteotomy groove is inserted with a sickle blade; the second side of the tibial guide plate body is provided with a fitting groove; one end of the tibial guide plate body is provided with a line of force parallel to the tibial osteotomy groove As for the rod fixing plate, the end of the force wire rod fixing plate away from the body of the tibial guide plate is provided with a force wire rod socket which is configured to be able to insert a force wire rod. The present invention realizes alignment and fitting with the anterior medial side of the tibia by setting the fitting groove, ensures the precise positioning and assembly of the tibial guide plate and the tibia, aligns the tibial osteotomy groove with the tibial osteotomy surface, and inserts the sickle blade into the tibial osteotomy groove , realize accurate verification of tibial osteotomy, ensure accurate positioning of surgical osteotomy, improve surgical safety and success rate, simple structure, convenient operation, and accurate positioning.