Fractal Tree indexes provide a way to optimize both reads and writes for large, growing datasets. They achieve this by combining aspects of log-structured merge trees (LSM trees) and B-trees - buffering data during writes like LSM trees to batch inserts, but maintaining a B-tree structure for efficient queries. This allows fractal tree indexes to have very fast insertion performance like LSM trees while also supporting fast queries like B-tree indexes. However, fractal tree indexes do introduce more complexity in the tree structure that can make concurrency more difficult.