Background: The surgical fixation of acetabular fractures using columnar screw technique newly introduced to reduce surgical trauma and blood loss with special care of the indications, skills, and equipment. Patients and Methods: Retrospectively we used percutaneous columnar screw to fix acetabular fractures either non displaced or minimally displaced guided by fluoroscopy. The study included 40 patients with acetabular fractures after obtaining informed consent fixed by anterior column, posterior column, supraacetabular screws, and even combination of plate and screw between June 2016 and June 2020.