Aim: Acetabular fractures have been one of the most complex and producing enormous morbidity for the patient. We intend to reduce the morbidity in patients with complex acetabular fractures involving both the anterior and posterior column, fixing both anterior and posterior column with plating and screw fixation depending upon the fracture pattern and analyse the post-operative outcome. Cases: We have operated upon 3 patients, with anterior column fracture with posterior hemi-transverse fracture pattern being most common. Conclusion: Single sitting fixation of both column fracture markedly improved the post-operative pain and rehabilitation in patients and should be undertaken whenever possible.