Always start with an attempt at closed reduction. If a satisfactory
reduction is achieved, proceed with fixation as described below.
The patient is positioned supine on the fracture table. The ipsilateral arm is
elevated in a sling, and the contralateral uninjured leg is placed on a leg
Reduction is usually achieved by first pulling in the direction of the long
axis of the leg in order to distract the fragments and regain length.
Next comes internal rotation.
The reduction must be checked in both the AP and lateral with an image
If closed reduction fails, carry out a limited open reduction.