During the past decade, techniques of internal fixation of pelvic and acetabular fractures have become the preferred method of management for most displaced and unstable injury patterns. A variety of contributions has been responsible for this including the innovations in three dimensional imaging, surgical procedures, and techniques of reduction and fixation. Conversely, the role of external fixation has steadily diminished. This manual provides a summary of current diagnostic and therapeutic methods for pelvic and acetabular reconstruction. In addition to reviewing acute resuscitation it looks at both the clinical and radiographic evaluation of the patient. It examines clinical results and complications, includes dozens of radiographs and reviews pre-operative and post-operative care.