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However, for patients with a fracture causing persistent pain and physical discomfort, internal fixation may be additionally required. We present a case of a patient who presented with a displaced pathological sternal fracture. She was treated with chemotherapy, radiotherapy and an open reduction and internal fixation with a Locking Compression Plate (LCP). This technique offers a feasible option for rigid fixation of pathological fractures.<\/jats:p>","DOI":"10.1136\/bcr-2015-211498","type":"journal-article","created":{"date-parts":[[2015,11,30]],"date-time":"2015-11-30T19:20:15Z","timestamp":1448911215000},"page":"bcr2015211498","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous sternal fracture due to multiple myeloma requiring extensive surgical repair"],"prefix":"10.1136","volume":"2015","author":[{"given":"Ellen M BP","family":"Reuling","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tijs S C","family":"Jakma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes Marco","family":"Schnater","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter E","family":"Westerweel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,11,30]]},"reference":[{"key":"2025042707441381000_2015.nov30_1.bcr2015211498.1","doi-asserted-by":"publisher","DOI":"10.1359\/JBMR.041131"},{"key":"2025042707441381000_2015.nov30_1.bcr2015211498.2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2010-05-282632"},{"key":"2025042707441381000_2015.nov30_1.bcr2015211498.3","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.04.242"},{"key":"2025042707441381000_2015.nov30_1.bcr2015211498.4","unstructured":"Swerdlow SH , Campo E , Harris NL . 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