Superior Acetabular Fracture: A Rare Variant Involving Both Anterior and Posterior Walls

INTRODUCTION: Superior acetabular fractures are extremely rare and poorly covered by existing classifications. CASE REPORT: A 52-year-old male presented 2½ weeks after a road traffic accident with a superior acetabular fracture involving the roof, iliac wing, and both walls. He was treated through an iliofemoral approach with ASIS osteotomy, reduction using a Schanz pin, and fixation with two cannulated screws. At 6 months, he showed excellent function (Merle d'Aubigné score 17). CONCLUSION: Superior acetabular fractures are rare variants requiring computed tomography-based assessment. The iliofemoral approach provides good exposure and favorable outcomes.