Fracture of the right acetabulum of a 67-year-old female. The patient reported to the emergency room four weeks delayed, upon admission impaction of the femoral head and the pattern of a two-column fracture was visible (column A). Significant comorbidities were missing, the individualized treatment plan was defined as acute total hip replacement (THR) with application of the Burch-Schneider reinforcement ring. Follow-up X-rays at two weeks (column B) and at three months (column C) are shown.