This is the traditional treatment technique and may involve traction to the leg. Recent medical studies however indicate non-operative treatment is best reserved for a minority of fractures (about 11%). Traction can prevent further displacement of the femur into the acetabulum but does not accurately reduce (reposition) acetabulum fractures and can lead to muscle atrophy and joint stiffness as well as a high incidence of arthritis.

Surgery is required to obtain the best possible results for the majority of patients. Acetabulum fracture surgery preserves the hip joint by accurate reconstruction of the fractured bone. This reconstruction restores the smooth surface of the acetabulum and its accurate fit to the femoral head.

In the majority of cases, arthritis is prevented and there is close to normal hip function.

Prior to surgery, patients undergo a comprehensive series of tests to obtain baseline data essential to the surgeon, medical specialists, anesthesiologist and other members of the health care team. These include an electrocardiogram, blood and urine tests, and a history and physical examination to determine any past or existing medical problems.

X-rays are also obtained, including 5 standard pelvis views and CT (computed tomography) scans. Sophisticated computer software allows the technologist to make cross-sectional CT scans into three-dimensional images. These x-rays enable the surgeon to determine the fracture pattern and precise degree of displacement and to plan the surgical approach. (Figure 3 and Figure 4).