[Congenital sternal cleft. Closed with a periosteal graft]

Three cases of sternal cleft are treated. In two cases direct approximation of the two sternal halves have been possible in neonatal period. The third case was seen later at 11 months: the cleft was 5 cm wide, we used autogenous periostal graft in two layers, the first in depth, the second above the sternal halves. This technique have given a good clinical and radiological result for two years. She must be reserved for the wide and "old" sternal cleft.