Objective To analyze and summarize the operative result in the treatment of acetabular fractures. Methods In this series, 60 acetabular fractures were reviewed and classified according to Letournel and judet classification. Koaher-langenbeck, ilioinguinal and combined anterior and posterior approach were adopted. Fracture reduction and fixation were carried out with pelvic reconstructive plates, cancellous-born screw and absorbable screws. Results The average follow-up period was 48 months(ranging from 6 to 84 months).Excellent results were found in 20 cases, good in 25, fair in 10 and poor in 3. The excellent and good rate was 75%, There is no Infection and death were found in this series. Conclusions surgical treatment, high quality anatomical reduction, internal fixation, active treatment of complications and early functional rehabilitation are the key points for reaching a good clinical result.