1. Patient Positioning on the Operative Table for More Accurate Reduction During Elastic Stable Intramedullary Nailing of the Femur by Raimonda Valaikaite, Davide Salvo, and Dimitri Ceroni J Bone Joint Surg Am Volume 97(8):695-698 April 15, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

2. A standard orthopaedic operating table or a fracture table (without traction) is used for the surgery. Raimonda Valaikaite et al. J Bone Joint Surg Am 2015;97:695-698 ©2015 by The Journal of Bone and Joint Surgery, Inc.

3. The patient is then placed in the supine position on the table with the knee operating support fixed vertically between the legs, which will be used as a perineal post. Raimonda Valaikaite et al. J Bone Joint Surg Am 2015;97:695-698 ©2015 by The Journal of Bone and Joint Surgery, Inc.

4. Two flexible nails are introduced into the distal metaphysis and then are pushed into the bone up to the fracture’s area. Raimonda Valaikaite et al. J Bone Joint Surg Am 2015;97:695-698 ©2015 by The Journal of Bone and Joint Surgery, Inc.

5. When the osteosynthesis is performed, the affected lower limb is then placed in a position with the hips and knees flexed at 90°, the legs abducted 20° from the midline, and the femur in neutral rotation (90° Dunn view). Raimonda Valaikaite et al. J Bone Joint Surg Am 2015;97:695-698 ©2015 by The Journal of Bone and Joint Surgery, Inc.