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Lateral decubitus position

Supine positioning with abducted contralateral leg

Lateral decubitus position with traction of the affected leg

This position is recommended for very proximal fractures because finding the nail entry-point is easier. However, it is more time consuming and iatrogenic injuries to the pudendal nerve have been documented, due to prolonged or excessive traction. This position is also recommended for obese patients.

Careful pre-cleaning of the soft tissues should be performed especially if gross contamination occurs.