Supine with manual traction
This positioning is recommended for bilateral fractures because it can allow for the reduction and fixation of both fractures without requiring re-draping. However, the axial view may be difficult to obtain because elevation of the contralateral leg is required.
Supine knee flexed 30°
This position is useful for antegrade nailing or retrograde nailing as the ability to obtain AP and lateral X-rays is exceptional.
Scissoring makes length, alignment and rotational confirmation easy. Raising the injured leg facilitates reduction of any flexed proximal fragment (iliopsoas muscle).