This document summarizes the management of 13 acetabular fractures seen by the author between 2002-present. Most fractures were posterior wall or posterior column fractures resulting from motor vehicle accidents. Surgical treatment involved open reduction and internal fixation using plates and screws. Post-operatively, patients underwent rehabilitation and were evaluated using the Harris Hip Score, with most achieving excellent or good results. Complications included myositis ossificans and re-fracture in one case. The author concludes that pre-operative CT planning and specialized surgical techniques and implants like the hooked buttress plate facilitate anatomic reduction and fixation of these complex fractures.