Fig. 3.

The infero-medial femur head fragment was excised. Because of severe comminution and difficulty in assessing the orientation of small fragments in this displaced comminuted acetabular fracture, fixation was not possible. The small fragments were discarded (a) and iliac crest strut graft was used for reconstruction of the posterior acetabular wall. The graft (arrow) was well supported with a reconstruction plate on its posterior aspect (b)