Traction can be applied in several ways with:
- The use of a fracture table that allows longitudinal and lateral traction
- The intermittent help of an assistant (may be unreliable in long procedures)
Apply longitudinal traction to the lower limb, and lateral traction through the greater trochanter.
Both these forces should be combined until the best effect is obtained.
In some surgeon’s experience, the use of a traction table post or other traction frame is helpful during this operation.
Excessive traction may limit fracture fragment mobility and interfere with reduction.