**8. Principles of treatment**

The aim of treatment of any acetabular fracture is to get anatomical reduction and stable fixation and early mobilization and delayed weight bearing. This can be achieved either by operative or non-operative treatment. In displaced fracture more than 2 mm, the roof arc angle <30°, Failure to achieve and maintain concentric reduction by closed methods, incarcerated or impacted intra-articular fragments are indication for open reduction. If there is vascular or sciatic nerve injury developing following a closed manipulation such situation warrants emergency ORIF. In patients with poor bone quality, late presentation, medical contraindication, severely communited fracture, secondary congruency can be treated non operatively. Most of the fractures are reduced using the principle of ligamentotaxsis. Interfragmentary screws are used for rigid fixation which should be protected using reconstruction plate in the neutralization mode [26].
