UPDATE: 12pm: The Princes Highway has reopened after the accident near Tomerong.
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There has been a serious accident on the Princes Highway south of Hawken Road.
A southbound Toyota Hilux has crossed to the wrong side of the road and collided with the trailer of a semi trailer.
The Hilux rolled, and its driver was trapped for a short period of time.
Ambulance paramedics released him and he managed to crawl from the vehicle.
The driver suffered a broken femur and head injuries. He has been taken to Shoalhaven Hospital from where will be airlifted to a Sydney hospital.
The highway is still blocked in both directions. Southbound traffic is being diverted via Hawken Road and northbound traffic onto Island Point Road.