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Complications of blade plate removal

C E Becker1, K A Keeler, R W Kruse

  • 1Department of Orthopaedics of the Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA.

Journal of Pediatric Orthopedics
|March 24, 1999
PubMed

Insights

Removing the AO fixed-angle blade plate in children is generally safe. This study found a low rate of complications, suggesting the procedure is well-tolerated for painful hardware removal.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Surgical complications

Background:

  • The AO fixed-angle blade plate is a standard device for proximal femoral osteotomies, offering stable fixation.
  • Postoperative immobilization is typically unnecessary with this implant.
  • Literature lacks data on complications associated with blade-plate removal.

Purpose of the Study:

  • To report the rate and types of perioperative and early postoperative complications.
  • To evaluate the safety of removing fixed-angle blade plates in pediatric patients.

Main Methods:

  • Retrospective review of pediatric patients undergoing removal of AO fixed-angle blade plates.
  • Analysis of complication rates and types during the perioperative and early postoperative periods.

Main Results:

  • The overall complication rate associated with blade-plate removal was 5.3%.
  • The major complication rate was 2.0%.
  • Complications were primarily related to prominent or painful hardware and skin breakdown.

Conclusions:

  • Removal of AO fixed-angle blade plates in pediatric patients is a relatively safe procedure.
  • The findings support the safety of hardware removal for symptomatic relief in this population.

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