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5Reduction and fixation of the articular surface

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.