Bilateral acetabular fractures have long been described in seizure patients, osteoporotic acetabular insufficiency. Few cases have been reported in the context of high-velocity trauma. The bilateral traumatic acetabular fracture is very rare and complex due to the unique nature of the force and the fracture pattern. A 48-year-old female patient was admitted to our orthopedic ward for bilateral acetabular fracture after a road traffic accident. On admission, the patient presented with some associated complications susceptible to influence the prognosis. In conclusion, bilateral acetabular fracture secondary to high-velocity trauma can be successfully managed with open reduction and internal fixation, even in cases with a very high risk of surgical site infection and sepsis.