To reduce the fracture, first apply traction in the direction of the length of the extremity. This will distract the fragments and restore length.
The second step is internal rotation. Check each step with the image intensifier.
Excessive traction, in an attempt to reduce the fracture, can lead to pelvic rotation around the perineal post of the fracture table. When the pelvis rotates, as illustrated, it produces relative abduction of the hip, thus interfering with access to the proximal femoral nail entry site.