A, MRI of T-type acetabular fracture. B, Posterior wall defect is carefully contoured with reamer while sciatic nerve is protected. C, Approximately two thirds of femoral head is pinned into defect through attached femoral neck. D, Femoral head autograft is stabilized with reconstruction plate. E, Burr and acetabular reamers are used to contour graft, reconstructing bony acetabulum. F, Assembled total hip. G, At 1-year follow-up. SEE TECHNIQUE 56.2.