Kishore Mulpuri
#A207A - 4480 Oak Street
Vancouver, BC V6H 3V4
Tel: 875-2054
Fax: 875-2275

Dr. Mulpuri is currently an Associate Professor in Pediatric Orthopaedics, Department of Orthopaedics, University of British Columbia. Dr. Mulpuri has recently completed an MSc in Epidemiology at the University of British Columbia. He is involved in a wide range of research projects in paediatric orthopaedics. He is most interested in studying the clinical outcomes of orthopaedic treatment so that improvements in treatments and the results of the treatments will continue to be made. Dr. Mulpuri also studies problems with gait (walking) associated with neuromuscular disorders and of unknown origin. Abnormalities and diseases of hip are also one of his research focuses.

Current research projects:
Management of Displaced Supracondylar Fractures of the Humerus using Lateral versus Cross K wires:
A Prospective Randomized Clinical Trial
Supracondylar fractures are the most common elbow injury in children, usually due to a fall on an outstretched hand. When the fracture is displaced surgical correction is required. The current treatment for displaced elbow fractures involves reducing the fracture and then inserting pins to hold the bones in the correct position. There are two different pin configurations that can be used. Cross pinning involves inserting one pin on each side of the fracture site so that the pins cross each other or make an X. Lateral pinning involves putting both pins in one side of the fracture so that the pins are parallel. Both pin configurations are routinely used, and we will be undertaking a prospective randomised clinical trial in children age 3-7 to investigate which method has fewer complications in children.

The Effect of Femoral Nerve Block on Opioid Requirements in Femoral Fracture Fixation with Flexible Nails and in Anterior Cruciate Ligament (ACL) Reconstruction:
Prospective Double-Blind, Randomized Trials
Most children receive opioid (morphine-derived) pain relievers in the first 24 to 48 hours after the surgery. Opioids have significant side effects such as nausea, vomiting, itching, urinary retention, and sedation. The side effects from opioids have the potential to increase the length of hospital stay following surgery. By blocking a nerve before surgery (pre-emptive analgesia), the establishment of pain sensation at the site is prevented and less pain will be experienced when the effects of the block have worn off; therefore, there may be less of a need for opioids. Femoral nerve blocks are an accepted technique for use in children; however, to date, there have been no randomized trials looking at the effectiveness of femoral nerve block in reducing post-operative pain in children.