the modification of the operation consists in additional longitudinal osteotomy of the sternum , suturing of the manubrium to the sternum shaft , non-suturing of the rib cartilages after resection , filling of the through-like groove in the reposited sternum with the fragments of the resected rib cartilages , and immobilization of the fragments of the longitudinally osteotomized sternum that are inserted crosswise with several ( usually three ) kirschner wires , based on the thorax .
C0038293
sternum
C0817096
thorax