Fractures of the acetabulum.

Open reduction and internal fixation should now be considered the treatment of choice for most displaced fractures. The efficacy of this therapeutic approach is a function of improved fracture assessment coupled with advances in surgical exposure and stabilization techniques. A predictably high rate of good functional outcomes can now be expected, even in complex fracture patterns. It should be remembered, however, that this surgery is among the most demanding in orthopedics. Extensive study of general principles and techniques is necessary, and individual case preparation must be exhaustive. Early experience is probably best restricted to elemental fracture patterns. In this manner, both patient and surgeon may rely on a positive outcome.