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To determine risk factors for deep infection and conversion total hip arthroplasty (THA) after operative management of combined pelvic ring and acetabular injuries. Retrospective case control study. Level 1 trauma center. We reviewed 150 operative combined pelvic ring and acetabular injuries at our institution from 2010 to 2019, with an average follow-up of 690 (90-3282) days. Deep infection and conversion THA. Patients who developed deep infection (N = 17, 11.3%) had higher rates of hip dislocation ( P = 0.03, intraoperative tr