A 75-year-old Caucasian man presented to our hospital after falling from his wheelchair. He complained of pain in his right hip, and plain radiographs showed a minimally displaced intertrochanteric fracture of the right femur. He had bilateral above-knee amputations for peripheral vascular disease but no prosthetic limbs, and therefore, he was wheelchair bound. A dynamic hip screw was planned, but we were faced with the dilemma of positioning the patient on the fracture table. The patient was placed supine on the radiolucent table, as in the standard procedure. The stump of the unaffected hip was bound firmly to a gutter support and placed in abduction and flexion, allowing good access for the image-intensifier arm. The stump on the fractured-hip side was placed on the thigh support of the fracture table without any traction component attached. Retaining the radiolucent thigh support allowed easy access for the image intensifier and visualization of the hip joint in both anterior-posterior (AP) and lateral views. Because the fracture was minimally displaced, in situ fixation of the fracture was carried out without any obstruction or difficulty under image-intensifier control. If further reduction were necessary, an attempt at closed reduction could have been carried out with direct traction along the thigh stump or by pin traction in the stump if needed, as attachment of any sort of traction device is not possible in such a short above-knee stump.