The pull on the femur (weight at the end of the traction) should be enough to correct length and to reduce the fracture.
For maintenance traction 10% of the patient’s body weight is usually sufficient.
The pull should always be in line with the femur. For that purpose, the height of the pulley on the Balkan beam must be adjustable.
The thigh needs to be supported on a firm triangular foam wedge, or by folded pillows, in order to prevent posterior sag at the fracture site.