“Push-pull” reduction method. A, Before attempted reduction rolled towel is placed to be used as fulcrum. B, The “push” maneuver is used to over-reduce fracture into extension. C, Then fracture is “pulled” back to align anterior humeral line with middle of capitellum. (Redrawn from Chukwunyerenwa C, Orlik B, El-Hawary R, et al: Treatment of flexion-type supracondylar fractures in children: the “push-pull” method for closed reduction and percutaneous K-wire fixation, J Pediatr Orthop B 25:412, 2016.) SEE TECHNIQUE 36.4.