[Objective] The surgical technique and preliminary clinical results of percutaneous retrograde screw fixation of acetabular fractures without obvious displacement are described. [Methods] Nineteen patients with acetabular fractures without obvious displacement were treated with retrograde percutaneous screw fixation. Preoperative virtual surgical design was conducted by using relevant computer software technology, and individualized nail placement parameters were obtained. The needle insertion point was determined by combining preoperative planning and intraoperative fluoroscopy, and the blunt separation to the bone surface. The guide needle was placed at the needle insertion point, and the guide needle direction was determined by C-arm fluoroscopy, and the screw was placed after safety and error were ensured. [Results] Retrograde acetabulum anteroposterior column screws were successfully inserted in all 19 patients without neurovascular injury or insertion into the hip space. There were no complications such as screw loosening and fracture, fracture nonunion and redisplacement. The excellent and good rate of the Merle d 'Aubigne and Postel functional scores was 89.4% at the last follow-up. [Conclusion] Percutaneous retrograde acetabular anterior and posterior column screw fixation combined with preoperative computer individual planning for the treatment of acetabular fractures without significant displacement achieved good clinical outcomes in a short period of time.