An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to reexpand the lung if the lining of the lung is entered. Metal struts are removed 6 months later through a small skin incision under the arm. This procedures is usually done as an outpatient.
Many affected children have other connective tissue disorders.
Vigorous activity may need to be restricted for 3 months. Patients who are younger, sicker, or need more extensive surgery will require more intensive and expensive treatment. Insurance coverage for surgery expenses depends on many factors and should be explored for each individual instance.