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Pelvic and acetabular fractures are relatively uncommon injuries and they are often complex and associated with life threatening trauma. Mortality rates have been reported ranging from 3% to 20%. The initial management of a patient with an unstable pelvic fracture can be life-saving and can significantly decrease ultimate morbidity but the management of pelvic and acetabular fractures is inherently difficult. The incidence of complications may be quite high, and surgeons are often unfamiliar with the regional anatomy of the pelvis and the specialized reduction techniques and maneuvers and implants necessary to treat these injuries. Orthopedic surgeons are often faced with the initial management of these patients while taking emergency room call but are often unprepared to provide this management. This course will: • Define key elements in the initial evaluation and management of patients with pelvic and acetabular fractures • Assess pelvic and acetabular fractures as a component of a complex polytrauma situation • Classify pelvic and acetabular fractures based upon an understanding of the radiographic appearance of the normal and injured pelvis • Identify appropriate decision-making strategies and define indications for operative management • Enhance your competency skills in managing pelvic and acetabular fractures