On occasion of the EFORT Meeting in Lisbon in June 2022, ARTOF and ESPA conjointly organized an instructional course on ‚Pelvic and Acetabular Fractures in Polytrauma‘. The ARTOF faculty, from Great Britain, Canada and Germany, focused on decision making in polytrauma, bleeding control in pelvic trauma, and the impact of modern management principles in the outcome following unstable pelvic fractures.