51 yrs old gentleman came with a complex left hip fracture following an accident. He was unable to stand or move his left leg due to severe pain due to a sustained left hip fracture. His x-ray showed displaced comminuted both column Acetabular fractures. After ct evaluation, he underwent fracture fixation with multiple plates (quadrilateral and other plates). An anterior intrapelvic approach was used to buttress the Anterior column with a q plate applied to the buttress of the posterior column with 2 short posterior column screws inserted through Anterior plate holes. After stable fixation, he was allowed in-bed mobilization, and side turning and was allowed to stand with support off the bed. These complex Pelvi-Acetabular fractures require meticulous planning and skills to reduce the fracture anatomically to prevent arthritis.
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