This technical note describe the feasibility of a reproducible laparoscopic technique for acetabular fracture fixation, focusing on the feasibility of using infra-pectineal and supra-pectineal plates and proper screw placement. A standardized preperitoneal laparoscopic approach was performed on ten adult cadavers. Infra-pectineal and supra-pectineal plates were inserted under laparoscopic control, and screw placement was guided using an eight-zone pelvic classification. Feasibility criteria included exposure quality, implant positioning, operative time, and complications. The procedure was successfully completed in 9 of 10 specimens (90%). Key anatomical landmarks were consistently identified. All implants were positioned as planned. Mean operative time was 115 min (range 90–120), with no major vascular, visceral, or neurological injuries. This technique appears feasible and reproducible and may offer a minimally invasive alternative for selected acetabular fractures, particularly in fragile patients.

IV; cadaveric study.