Background: There is a significant risk of morbidity and mortality associated with acetabular fractures due to significant internal organ injury and hemorrhage. Orthopedic surgeons are faced with significant challenge when treating these fractures. Early surgical fixation of acetabular fractures is the preferred course of treatment because it offers a number of benefits, including early ambulation and decreased morbidity and mortality. This study aimed to evaluate of early clinical and radiological outcome of percutaneous fixation of transverse acetabular fractures. Methods: This prospective study was conducted on 18 patients with transverse acetabular fractures using fluoroscopic guidance who underwent percutaneous fixation by closed reduction aided by Shanz screw with mean follow up period 2 years. All patients was had an AP, Lateral, inlet, outlet and Judet views X-ray and CT scan. The clinical outcomes was evaluated using Merle D'Aubigne. Results: According to the Merle d'Aubigne Score Distribution among studied groups was excellent in 15 patients (83.3%), good in 2 patients (11.1%) and only one case 5.6% had fair score. Most of the studied group (16 cases, 88.9%) didn't have any postoperative complications and two cases had complications which is superficial tract infection (11.1%). Conclusion: we find that the use of fluoroscopic guidance in percutaneous screw treatment of transverse acetabular fractures is a safe and reasonably simple surgical approach for treating non-comminuted and minimally displaced fractures associated with early rehabilitation and less complications.