If no traction table is used (i.e., using the freehand technique) the cable
method may be used. In this technique, the electrocautery cord is held from the
iliac spine across the patella to the cleft between the first and second toes.
If rotation is correct, this cord will pass over the midline of the patella,
and slightly medial to the tibial eminence.
Another method of assessing rotational reduction is to compare the cortical
thickness above and below the fracture. If a shaft fracture is
multifragmentary, the image intensifier cannot be used to compare cortical
diameters on each side of the fracture.