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Fractures of the acetabulum are high-energy injuries. They mostly affect young adults and can cause severe disability. The type of fracture depends on the mechanism of trauma and the position of the body at the time of the accident. Proper treatment of acetabular fractures demands good knowledge of three-dimensional anatomy of the pelvis. Our goal in acetabular fracture treatment is to accomplish anatomical reduction of bone fragments of the articular surface, which can be achieved mostly by surgery. Since none of the operative approaches available can demonstrate the entire acetabulum, several surgical techniques must be utilized. Some early and late postoperative complications are highlighted at the end of the article.