The AO fixed-angle blade plate is commonly used to obtain fixation in proxi
mal femoral osteotomies. This device provides stable fixation and obviates
the need for postoperative immobilization. There are no reports in the lite
rature on the rate and types of complications associated with blade-plate r
emoval. We report our rate and type of perioperative and early postoperativ
e complications associated with removal of fixed-angle blade plates in a pe
diatric population. With an overall complication rate of 5.3% and a major c
omplication rate of 2.0%, our study showed that removal of the blade plate
was a relatively safe procedure in those patients troubled by prominent/pai
nful hardware or skin breakdown.