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Abstract Subtrochanteric femur fractures are one of the most devastating injuries. They account for 10-30% of hip fractures. Most of the fractures in the elderly results from trivial fall while in the younger age group it is mainly due to high energy trauma. The deforming muscular forces on a subtrochanteric fracture produce shortening and varus deformity at the fracture site.Therefore, Operative treatment is the treatment of choice for this difficult fracture. Awareness of the ideal patient position for surgery is crucial. It directly influences the operative parameters and guarantees better fracture reduction and functional outcome. In this study, we aimed at providing an objective prospective comparison between the supine position with traction table and the lateral position with manual traction in the intramedullary fixation of subtrochanteric fractures and we assessed the operative parameters for each decubitus position group |