The case of a patient with an intertrochanteric femoral fracture managed by proximal femoral nailing in the lateral decubitus position without a traction table. (A) Preoperative X-ray of a 73-year-old woman who presented with an unstable trochanteric fracture. (B) Intraoperative fluoroscopic photos showing the position of the guidewires for the proximal locking screws (lag screw and antirational screw). (C) Postoperative X-ray of the proximal femur showing the position of the nail and the central position of the lag screw. (D) Follow-up X-ray image showing healing of the fracture with a stable implant position.