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dehiscence or allergic reactions. The limitation of this meta-analysis was that out of the 6included studies, only one was methodologically well designed and reported.The findings from our baseline audit also support the findings from this meta-analysis, howeverwe need to be careful in our interpretation of these significant findings. It is well known thatcertain patient factors like smoking, obesity, diabetes and steroid use increase incidence ofinfections. Of our 5 patients with infected wounds one had a preceding chest infection, onesuffered from recurrent UTI’s and another one was an immunosuppressed renal patient. Thusstaples cannot be blamed for all superficial wound infections.Our aim now will be to present these findings and to either initiate a well designed randomisedcontrol trial to answer this debate between staples and sutures, or to accept the findings andchange our practice by closing all skin wounds with sutures and re-audit in 6 months time.Poster: 92Modified Fulkersons Procedure, Combined With Microfracture for Patello-Femoral Arthritis in the Younger Patient*Ahsan Sheeraz - Royal National Orthopaedic Hospital, Stanmore - London, UKPaul Allen - Princess Royal University Hospital - Orpington, UK*Email: ahsanshiraz@hotmail.comWe report the results of a modified Fulkerson technique of antero-medialisation of the tibialtubercle, combined with microfracture or abrasion arthroplasty in patients under 60 withpatello-femoral osteoarthritis.All patients operated on between September 1992 and October 2007 were reviewed by anindependent observer in clinic or by postal questionnaire, using the Oxford Knee Score,Melbourne Patella Score and a Satisfaction Score. Only patients with Outerbridge Grade 3 – 4osteoarthritis of the patello-femoral joint were included. They were assessed pre-operativelywith plain x-rays, MRI scans (as well as tracking scans in the last 10 years) andarthroscopically. All patients with tracking scans showed lateral subluxation of the patella.The surgical procedure was a modification of Fulkerson’s tibial tubercle osteotomy, with anadvancement of 1-1.5 cms and a medialisation of 1.5 cms. The exposed bone of the patella andtrochlea was drilled in the early cases and in the later cases an arthroscopic microfracture orabrasion using a power burr was carried out.Between September 1992 and October 2007, 103 procedures were carried out in 84 patients, 19file:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]