The function of the pelvic bone is to transmit the body weight to the lower extremities and protect the internal organs in the abdomen and pelvic cavity. Most pelvic fractures occur from high energy trauma, and injuries associated with other parts of the body are common. The characteristics of pelvic fractures may have a significant effect on the patient's general condition and prognosis after treatment. Therefore, the patient's general condition should be considered before treating pelvic fractures to decrease the complications and mortality. After the patient's vital signs are stabilized, simple X-rays and CT should be examined to evaluate the fracture pattern and possible injury mechanism. A high energy induced pelvic ring injury should be treated by experienced surgeons and the biomechanics should be understood completely beforehand to achieve the best possible result.