Elevation of the impacted articular surface
The impacted articular fragments must be elevated gently with a pusher which
can be introduced through the fracture or by creating a small cortical window.
It is most important that the defect in the metaphysis which is created by the
reduction of the impacted articular fragments be filled with a bone graft to
prevent secondary collapse of the reduced articular fragments. Alternatively,
bone substitute can be used.