Aurori Kevin C. M.D.Techniques in Orthopaedics: January 1998 Tips and Pearls: PDF Only Free Abstract Summary Lower-extremity long bone fractures are often managed with intramedullary implants. Traditional nailing techniques using fracture tables involve prolonged set-up times. Procedures performed without fracture tables are increasing in popularity but present additional challenges. Fracture movement must be controlled to avoid additional soft tissue damage. Control of fracture length and rotation is prerequisite as is the need for changes in angular position of the knee during surgery. Ancillary intraoperative stabilization and extra skilled assistants are frequently required. The Knee Positioning Triangle, a rigid, free-standing, radiolucent appliance, provides a stable operating platform through a range of angular positions during tibial and retrograde femoral intramedullary nailing procedures. Operative set-up times are abbreviated and extra assistants are not required. Address correspondence and reprint requests to Kevin C. Aurori, MD, 556 Eagle Rock Ave., Suite 5, Roseland, NJ 07068, U.S.A. © Williams & Wilkins 1998. All Rights Reserved.