- Lateral decubitus position
Lateral decubitus position with traction of the affected leg
The patient is positioned in lateral decubitus with the contralateral leg resting on the fracture table. Traction is applied only to the fractured extremity.
This position is recommended for very proximal fractures because finding the 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.
The arm position is always anterior of the trunk.
Additional traction at knee joint
Alternatively, additional traction at the knee joint may be applied to take account of any flexion of the proximal fracture fragment.