Most of acetabular fractures especially those involving weight
bearing dome must be anatomically reduced. Principles of
management of any articular fractures of long bones apply to
fractures of acetabulum. These principles include achievement of
anatomical reduction of the joint surface, rigid stable fixation
which can allow early active motion and preservation of soft
tissue. Due to complications of extensive surgical exposures of
reduction and fixation of acetabular fractures, minimal invasive
techniques of reduction and stabilization of acetabular fractures
has been evoluted. The concept of minimal invasive surgery still
depends on achieving anatomical reduction and stable internal
fixation but with the least soft tissue dissection. The minimal
invasive fixation is achieved by using percutaneous periacetabular
screws after fracture reduction either by closed means
or by limited open reduction through mini-windows