Intertrochanteric fracture of the femur is one of the common fractures in the elderly. Dynamic Hip Screw (DHS) fixation is the gold standard for treatment of intertrochanteric femoral fracture. Conventional methods of achieving reduction prior to instrumentation require utilization of a traction table. A manual traction technique applied in the supine position using only a translucent table was devised to do away with the use of traction table. The rationale for this technique includes enhanced ease of set up, the ability to perform multiple procedures without repositioning and prevention of traction table related complications. Use of the reduction method with a traction table or application of manual traction during dynamic hip screw fixation of intertrochanteric femoral fracture was both feasible and safe.