Overview

Dr. Mulpuri’s clinical practice and research interests have a major focus on the pediatric hip and cerebral palsy. He regularly treats patients with a wide range of conditions including but not limited to: Developmental Dysplasia of the Hip (DDH), Cerebral Palsy (CP), Legg–Calvé–Perthes disease, osteogenesis imperfecta (OI), slipped capital femoral epiphysis (SCFE) and trauma.

He is the Research Director of the International Hip Dysplasia Institute (IHDI) and currently holds the medical lead position for the Child Health BC Hip Surveillance Program for Children with Cerebral Palsy. He also is Co-Lead for the Evidence to Innovation Theme at BCCHR. He is the Founding President of the Canadian Pediatric Orthopaedic Group (CPOG), which facilitates the academic and scientific exchange of thoughts and ideas between Canadian pediatric orthopaedic surgeons and creates invaluable opportunities for educational activities and collaborative research across Canada.

In addition, he leads the Bone Health & Mobility Research Team at BC Children’s Hospital and currently acts as Principal Investigator or Co-Investigator on various local and international multi-centre research studies. He is regularly involved with the development of new clinical practice guidelines, most recently chairing the work group that developed the guidelines for non-operative treatment and management of DDH.

Publications

Internet-administered Health-related Quality of Life Questionnaires Compared With Pen and Paper in an Adolescent Scoliosis Population: A Randomized Crossover Study.
Nitikman M, Mulpuri K, Reilly CW
DOI: 10.1097/bpo.0000000000000716
PubMed: 26756988
03/2017

Acute kidney injury following spinal instrumentation surgery in children.
Jöbsis JJ, Alabbas A, Milner R, Reilly C, Mulpuri K, Mammen C
03/2017

Evidence-Based Recommendations for Spine Surgery.
Vaccaro AR, Fisher CG, Patel AA, Prasad SK, Chi J, Kishore M, Thomas KC, Whang PG
DOI: 10.1097/brs.0000000000002083
PubMed: 28240652
02/2017

Closed Reduction for Developmental Dysplasia of the Hip: Early-term Results From a Prospective, Multicenter Cohort.
Sankar WN, Gornitzky AL, Clarke NM, Herrera-Soto JA, Kelley SP, Matheney T, Mulpuri K, Schaeffer EK, Upasani VV, Williams N, Price CT, International Hip Dysplasia Institute
PubMed: 27846045
11/2016

Nonoperative Treatment of Type IIA Supracondylar Humerus Fractures: Comparing 2 Modalities.
Roberts L, Strelzow J, Schaeffer EK, Reilly CW, Mulpuri K
PubMed: 27636909
09/2016

Use of Patient-reported Outcome Measures in Pediatric Orthopaedic Literature.
Phillips L, Carsen S, Vasireddi A, Mulpuri K
PubMed: 27603185
09/2016

The 2015 American-British-Canadian Traveling Fellows Report.
Patel AA, Brophy RH, Gandhi R, Luu HH, Mulpuri K, Shah SA, Kakar S
DOI: 10.2106/jbjs.15.01378
PubMed: 27535449
08/2016

Introduction to Evidence-based Recommendations for Pediatric Orthopaedic Practice.
Mulpuri K, Schaeffer EK, Thompson GH, Hensinger RN
PubMed: 27379782
07/2016

Evaluation of Brace Treatment for Infant Hip Dislocation in a Prospective Cohort: Defining the Success Rate and Variables Associated with Failure.
Upasani VV, Bomar JD, Matheney TH, Sankar WN, Mulpuri K, Price CT, Moseley CF, Kelley SP, Narayanan U, Clarke NM, Wedge JH, Castañeda P, Kasser JR, Foster BK, Herrera-Soto JA, Cundy PJ, Williams N, Mubarak SJ
DOI: 10.2106/jbjs.15.01018
PubMed: 27440570
07/2016

Automatic Evaluation of Scan Adequacy and Dysplasia Metrics in 2D Ultrasound Images of the Neonatal Hip
Canadian Orthopaedic Association Annual Meeting
06/2016

Management of displaced supracondylar fractures of the humerus using lateral versus cross k wires: A prospective randomized trial
Canadian Orthopaedic Association Annual Meeting
06/2016

Investigating Caregiver Perspectives on Health Status and Comfort in Children with Cerebral Palsy Undergoing Surgery for Hip Displacement
Canadian Orthopaedic Association Annual Meeting
06/2016

Developmental Dysplasia of the Hip and Laterality: The Importance of Graded Severity of the Contralateral Hip
Canadian Orthopaedic Association Annual Meeting
06/2016

Misinterpretation of “Negative” Results of Superiority Trials in Orthopaedic Literature: The Need for Non-inferiority Trials
Canadian Orthopaedic Association Annual Meeting
06/2016

What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants?
Mulpuri K, Schaeffer EK, Andrade J, Sankar WN, Williams N, Matheney TH, Mubarak SJ, Cundy PJ, Price CT, IHDI Study Group
DOI: 10.1007/s11999-015-4668-0
PubMed: 26728512
05/2016

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?
Mulpuri K, Schaeffer EK, Kelley SP, Castañeda P, Clarke NM, Herrera-Soto JA, Upasani V, Narayanan UG, Price CT, IHDI Study Group
DOI: 10.1007/s11999-016-4746-y
PubMed: 26891895
05/2016

Developmental dysplasia of the hip and laterality: The importance of graded severity of the contralateral hip
Pediatric Orthopaedic Society of North America Annual Meeting
04/2016

Comparison of an automatic ultrasound technique to current practice in calculating dysplasia metrics in DDH
Pediatric Orthopaedic Society of North America Annual Meeting
04/2016

Inter-observer and intra-observer reliability in the radiographic diagnosis of avascular necrosis of the femoral head following reconstructive hip surgery in children with cerebral palsy.
Hesketh K, Sankar W, Joseph B, Narayanan U, Mulpuri K
DOI: 10.1007/s11832-016-0723-y
PubMed: 26972813
04/2016

'I fell off and landed badly': Children's experiences of forearm fracture and injury prevention.
Sims-Gould J, Race D, Hamilton L, MacDonald H, Mulpuri K, McKay H
DOI: 10.1177/1367493514551311
PubMed: 25326540
03/2016

The Frequency of AVN Following Reconstructive Hip Surgery in Children With Cerebral Palsy: A Systematic Review.
Hesketh K, Leveille L, Mulpuri K
DOI: 10.1097/bpo.0000000000000485
PubMed: 26849636
03/2016

Evidence-based Recommendations for Spine Surgery.
Vaccaro AR, Fisher CG, Prasad SK, Patel AA, Chi J, Mulpuri K, Thomas KC, Whang PG
DOI: 10.1097/brs.0000000000001369
PubMed: 26650873
02/2016

Agreement Between a Physical Therapist and an Orthopedic Surgeon in Children Referred for Gait Abnormalities.
Miller S, Harris SR, Mulpuri K
DOI: 10.1097/pep.0000000000000207
PubMed: 27088694
2016

Fundamental concepts in evidence–based medicine
Surgery of the Spine and Spinal Cord – A Neurosurgical Approach
2016

Child Health BC Hip Surveillance Program for Children with Cerebral Palsy E-learning Module
2016

Management of displaced supracondylar fractures of the humerus using lateral versus cross k wires: A prospective randomized trial
Pediatric Orthopaedic Society of North America Annual Meeting
2016

Investigating caregiver perspectives on health status and comfort in children with cerebral palsy undergoing surgery for hip displacement
Pediatric Orthopaedic Society of North America Annual Meeting
2016

Participating in clinical research: A parent perspective
Canadian Orthopaedic Association Annual Meeting
2016

Caregiver attitudes toward the use of smartphone applications in pediatric orthopaedics: A cross-sectional survey study
Canadian Orthopaedic Association Annual Meeting
2016

Splinting versus above elbow casting for Type I supracondylar fractures of the humerus in children: A randomized controlled trial
Canadian Orthopaedic Association Annual Meeting
2016

The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age.
Mulpuri K, Song KM, Gross RH, Tebor GB, Otsuka NY, Lubicky JP, Szalay EA, Harcke HT, Zehr B, Spooner A, Campos-Outcalt D, Henningsen C, Jevsevar DS, Goldberg M, Brox WT, Shea K, Bozic KJ, Shaffer W, Cummins D, Murray JN
DOI: 10.2106/jbjs.o.00500
PubMed: 26491137
10/2015

Relationships Between Severity of Deformity and Impingement in Slipped Capital Femoral Epiphysis.
Jones CE, Cooper AP, Doucette J, Buchan LL, Wilson DR, Mulpuri K, d'Entremont AG
PubMed: 26356312
09/2015

Impact of Surgical Waiting-List Times on Scoliosis Surgery: The Surgeon's Perspective.
Miyanji F, Newton PO, Samdani AF, Shah SA, Varghese RA, Reilly CW, Mulpuri K
DOI: 10.1097/brs.0000000000000205
PubMed: 24430712
06/2015

Give me a break! Does post–surgical immobilization increase the risk of low trauma fractures in children with cerebral palsy post hip surgery?
Canadian Orthopaedic Association Annual Meeting
06/2015

Detection and non–operative management of paediatric developmental dysplasia of the hip in infants
Canadian Orthopaedic Association Annual Meeting
06/2015

Non–operative treatment of Type IIA supracondylar humerus fractures: Comparing two modalities
Canadian Orthopaedic Association Annual Meeting
06/2015

Internet–administered health related quality of life questionnaires compared to pen and paper in an adolescent scoliosis population: A randomized crossover study
Canadian Orthopaedic Association Annual Meeting
06/2015

Health–related quality of life outcomes in paediatric literature
Canadian Orthopaedic Association Annual Meeting
06/2015

Gastrocnemius recession compared to tendo–achilles lengthening for surgical correction of equinus deformity in children with cerebral palsy: Are we under or over correcting based on gait analysis?
Canadian Orthopaedic Association Annual Meeting
06/2015

Avascular necrosis in children with cerebral palsy after reconstructive hip surgery
Canadian Orthopaedic Association Annual Meeting
06/2015

Risk factors for late presenting developmental dysplasia of the hip from a multicentre, prospective study group
Canadian Orthopaedic Association Annual Meeting
06/2015

The effectiveness of Pavlik harness treatment for fixed congenital dislocations of the hip
Canadian Orthopaedic Association Annual Meeting
06/2015

Misinterpretation of “negative” results of superiority trials in orthopaedic literature: The need for non–inferiority trials
Pediatric Orthopaedic Society of North America Annual Meeting
05/2015

Risk factors for late presenting developmental dysplasia of the hip from a multi–centre, prospective study group
Pediatric Orthopaedic Society of North America Annual Meeting
05/2015

Avascular necrosis in children with cerebral palsy after reconstructive hip surgery
Pediatric Orthopaedic Society of North America Annual Meeting
05/2015

Pavlik treatment for dislocated but irreducible hips in infants aged
Pediatric Orthopaedic Society of North America Annual Meeting
05/2015

Automatic assessment of developmental dysplasia of the hip
2015 IEEE 12th International Symposium on Biomedical Imaging (ISBI)
04/2015

Interobserver and intraobserver reliability of the modified Waldenström classification system for staging of Legg-Calvé-Perthes disease.
Hyman JE, Trupia EP, Wright ML, Matsumoto H, Jo CH, Mulpuri K, Joseph B, Kim HK, International Perthes Study Group Members
DOI: 10.2106/jbjs.n.00887
PubMed: 25878308
04/2015

What clinimetric evidence exists for using hip-specific patient-reported outcome measures in pediatric hip impingement?
d'Entremont AG, Cooper AP, Johari A, Mulpuri K
DOI: 10.1007/s11999-014-4027-6
PubMed: 25367111
04/2015

AAOS Clinical Practice Guideline: Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age.
Mulpuri K, Song KM
DOI: 10.5435/jaaos-d-15-00008
PubMed: 25716003
03/2015

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age.
Mulpuri K, Song KM, Goldberg MJ, Sevarino K
DOI: 10.5435/jaaos-d-15-00006
PubMed: 25656273
03/2015

Deficits in distal radius bone strength, density and microstructure are associated with forearm fractures in girls: an HR-pQCT study.
Määttä M, Macdonald HM, Mulpuri K, McKay HA
DOI: 10.1007/s00198-014-2994-9
PubMed: 25572041
03/2015

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Patel AA, Prasad SK, Chi J, Mulpuri K, Thomas KC, Whang PG
DOI: 10.1097/brs.0000000000000763
PubMed: 25901985
03/2015

Reliability of a New Radiographic Classification for Developmental Dysplasia of the Hip.
Narayanan U, Mulpuri K, Sankar WN, Clarke NM, Hosalkar H, Price CT, International Hip Dysplasia Institute
DOI: 10.1097/bpo.0000000000000318
PubMed: 25264556
2015

The Quality of Randomized Controlled Trials in Pediatric Orthopaedics: Are We Improving?
Dodwell E, Dua S, Dulai SK, Astone K, Mulpuri K
DOI: 10.1097/bpo.0000000000000324
PubMed: 25494022
2015

Paediatric patient family engagement with clinical research at a tertiary care paediatric hospital.
Gill C, Ansermino MJ, Sanatani S, Mulpuri K, Doan Q
PubMed: 25587233
12/2014

Evidence-based recommendations for spine surgery.
Vaccaro AR, Fisher CG, Whang PG, Patel AA, Thomas KC, Mulpuri K, Chi J, Prasad SK
DOI: 10.1097/brs.0000000000000492
PubMed: 25166476
09/2014

Evidence-based management of developmental dysplasia of the hip.
Cooper AP, Doddabasappa SN, Mulpuri K
DOI: 10.1016/j.ocl.2014.03.005
PubMed: 24975762
07/2014

Lower Bone Strength, Density And Trabecular Microstructure At The Distal Radius Is Associated With Increased Risk Of Forearm Fracture In Young Girls
Pediatric Orthopaedic Society of North America Annual Meeting
05/2014

Legg–Calvé–Perthes disease
American Academy of Orthopaedic Surgeons Annual Conference
03/2014

Prophylactic hip surgery in CP patientsDebate: CON
American Academy of Orthopaedic Surgeons Annual Conference
03/2014

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Prasad SK, Whang PG, Mulpuri K, Thomas KC, Chi J, Patel AA
DOI: 10.1097/brs.0000000000000085
PubMed: 24153174
01/2014

Crouch gait surgery in CP patients
Canadian Botulinum Toxin Conference
01/2014

Evidence-based medicine and clinical trials in pediatric orthopaedics.
Mulpuri K, Brighton BK
DOI: 10.1097/bpo.0000000000000292
PubMed: 25207742
2014

I fell off and landed badly”: Children’s experiences of forearm fracture and injury prevention
American Orthopaedic Association/Canadian Orthopaedic Association Annual Meeting
2014

The frequency of AVN following reconstructive hip surgery in children with cerebral palsy: A systematic review
American Orthopaedic Association/Canadian Orthopaedic Association Annual Meeting
2014

Putting knowledge into practice: Hip surveillance in British Columbia
Canadian Association of Paediatric Health Centres Annual Conference
10/2013

Levels of evidence at the Orthopaedic Trauma Association annual meetings.
Slobogean GP, Dielwart C, Johal HS, Shantz JA, Mulpuri K
DOI: 10.1097/bot.0b013e3182841412
PubMed: 23287756
09/2013

Citation classics in pediatric orthopaedics.
Varghese RA, Dhawale AA, Zavaglia BC, Slobogean BL, Mulpuri K
DOI: 10.1097/bpo.0b013e318296dfb6
PubMed: 23812135
09/2013

Evidence-based recommendations for spine surgery.
Vaccaro AR, Fisher CG, Patel AA, Prasad SK, Chi J, Mulpuri K, Thomas KC, Whang PG
DOI: 10.1097/brs.0b013e3182982d32
PubMed: 23629483
07/2013

Presentation and management of children
Canadian Orthopaedic Association Annual Meeting
06/2013

Guided growth for angular deformities about the knee in skeletally immature patients: A systematic review of the literature to identify successful correction and associated complications
Canadian Orthopaedic Association Annual Meeting
06/2013

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Whang PG, Patel AA, Thomas KC, Mulpuri K, Angevine PD, Prasad SK
DOI: 10.1097/brs.0b013e318275cdd8
PubMed: 23038617
01/2013

Guided growth for angular deformities about the knee in skeletally immature patients: A systematic review of literature to identify successful correction and associated complications
Pediatric Orthopaedic Society of North America Annual Meeting
2013

Presentation and management of children
Pediatric Orthopaedic Society of North America Annual Meeting
2013

Contribution of flexor pollicis longus to pinch strength: an in vivo study.
Goetz TJ, Costa JA, Slobogean G, Patel S, Mulpuri K, Travlos A
DOI: 10.1016/j.jhsa.2012.07.027
PubMed: 23101527
11/2012

Do femoral or salter innominate osteotomies improve femoral head sphericity in Legg-Calvé-Perthes disease? A meta-analysis.
Saran N, Varghese R, Mulpuri K
DOI: 10.1007/s11999-012-2326-3
PubMed: 22467420
09/2012

The treatment of displaced supracondylar humerus fractures: evidence-based guideline.
Mulpuri K, Wilkins K
DOI: 10.1097/bpo.0b013e318255b17b
PubMed: 22890454
09/2012

Legg-Calvé-Perthes disease: where do we stand after 100 years? Editorial comment.
Hosalkar HS, Mulpuri K
DOI: 10.1007/s11999-012-2418-0
PubMed: 22678815
09/2012

Evidence-based recommendations for spine surgery.
Vaccaro AR, Fisher CG, Angevine PD, Patel AA, Mulpuri K, Thomas KC, Whang PG, Prasad SK
DOI: 10.1097/brs.0b013e3182454ef0
PubMed: 22751143
07/2012

Do surgical wait times affect surgical treatment and peri-operative management of patients with cerebral palsy and subluxated or dislocated hips: The surgeons
Canadian Orthopaedic Association Annual Meeting
06/2012

A comparison of bone geometry and microstructure between the dominant and non-dominant radius of children
Canadian Orthopaedic Association Annual Meeting
06/2012

Acute Kidney Injury in the Pediatric Intensive Care Unit following spinal surgery: A retrospective study
Canadian Orthopaedic Association Annual Meeting
06/2012

AAOS clinical practice guideline: the treatment of pediatric supracondylar humerus fractures.
Mulpuri K, Hosalkar H, Howard A
DOI: 10.5435/jaaos-20-05-328
PubMed: 22553105
05/2012

The treatment of pediatric supracondylar humerus fractures.
Howard A, Mulpuri K, Abel MF, Braun S, Bueche M, Epps H, Hosalkar H, Mehlman CT, Scherl S, Goldberg M, Turkelson CM, Wies JL, Boyer K, American Academy of Orthopaedic Surgeons
DOI: 10.5435/jaaos-20-05-320
PubMed: 22553104
05/2012

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Mulpuri K, Angevine PD, Thomas KC, Patel AA, Prasad SK, Whang PG
DOI: 10.1097/brs.0b013e31823dccc0
PubMed: 22076643
01/2012

The creation of the British Columbia consensus on hip surveillance for children with cerebral palsy: A collaborative province–wide approach
American Academy of Cerebral Palsy and Developmental Medicine Annual Conference
2012

A comparison of bone geometry and microstructure between the dominant and non–dominant radius of children
Pediatric Orthopaedic Society of North America Annual Meeting
2012

Do surgical wait times affect surgical treatment and peri–operative management of patients with cerebral palsy and subluxated or dislocated hips: The surgeons’ perspective
Pediatric Orthopaedic Society of North America Annual Meeting
2012

The creation of the British Columbia consensus on hip surveillance for children with cerebral palsy: A collaborative province–wide approach
Canadian Association of Paediatric Health Centres Annual Conference
2012

Do surgical wait times affect surgical treatment and peri–operative management of patients with cerebral palsy and subluxated or dislocated hips: The surgeon’s perspective
65th Annual Meeting of the American Academy of CP and Developmental Medicine
10/2011

The levels of evidence in pediatric orthopaedic journals: where are we now?
Cashin MS, Kelley SP, Douziech JR, Varghese RA, Hamilton QP, Mulpuri K
DOI: 10.1097/bpo.0b013e31822aa11a
PubMed: 21841452
09/2011

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Whang PG, Prasad SK, Angevine PD, Mulpuri K, Thomas KC, Patel AA
DOI: 10.1097/brs.0b013e31821c06d8
PubMed: 21642806
06/2011

Skeptical thinking series: an introduction to skeptical thinking in the evaluation of claims.
Davidson D, Mulpuri K, Mathias RG
DOI: 10.1097/bpb.0b013e32834410e9
PubMed: 21301364
05/2011

Operative intervention improves outcomes of Perthes Disease– A meta-analysis
Pediatric Orthopaedic Society of North America Annual Meeting
05/2011

Obstacles to full–text publication in a peer reviewed journal following presentation of abstracts at the Pediatric Orthopedic Society of North America Annual Meetings 2003–2005
Pediatric Orthopaedic Society of North America Annual Meeting
05/2011

Citation classics in Pediatric Orthopaedics
Pediatric Orthopaedic Society of North America Annual Meeting
05/2011

The epidemiology of nonaccidental trauma in children.
Mulpuri K, Slobogean BL, Tredwell SJ
DOI: 10.1007/s11999-010-1565-4
PubMed: 20857249
03/2011

Impact of surgical waitlist times on scoliosis surgery: Surgeon’s perspective
American Academy of Orthopaedic Surgeons Annual Meeting
02/2011

Obstetric brachial plexus palsy
Mercer’s Textbook of Orthopaedics
2011

Developmental coxa vara
Mercer’s Textbook of Orthopaedics
2011

Blount’s disease
Mercer’s Textbook of Orthopaedics
2011

Publication of abstracts submitted to the annual meeting of the Pediatric Orthopaedic Society of North America: is there a difference between accepted versus rejected abstracts?
Varghese RA, Chang J, Miyanji F, Reilly CW, Mulpuri K
DOI: 10.1097/bpo.0b013e31820f8783
PubMed: 21415697
2011

NSAID exposure and risk of nonunion: a meta-analysis of case-control and cohort studies.
Dodwell ER, Latorre JG, Parisini E, Zwettler E, Chandra D, Mulpuri K, Snyder B
DOI: 10.1007/s00223-010-9379-7
PubMed: 20552333
09/2010

Levels of evidence at the Pediatric Orthopaedic Society of North America annual meetings.
Kelley SP, Cashin MS, Douziech JR, Varghese RA, Mulpuri K
DOI: 10.1097/bpo.0b013e3181e0cb70
PubMed: 20733429
09/2010

The levels of evidence in paediatric orthopaedic journals: Where are we now?
12th Combined Meeting of the Orthopaedic Associations
09/2010

Inter-observer and intra-observer agreement in the radiographic diagnosis of avascular necrosis of the femoral head following slipped capital femoral epiphysis.
Davidson D, Ghag A, Beauchamp RD, Tredwell SJ, Mulpuri K
DOI: 10.1007/s11832-010-0273-7
PubMed: 21804895
08/2010

Evidence-based recommendations for spine surgery.
Fisher CG, Vaccaro AR, Thomas KC, Angevine PD, Mulpuri K, Patel AA, Prasad SK, Whang PG
DOI: 10.1097/brs.0b013e3181e41f87
PubMed: 20535040
07/2010

Impact of surgical waitlist times on scoliosis surgery: Surgeon’s perspective
International Research Society of Spinal Deformities
07/2010

C1 lateral mass screw fixation in children: Indications, outcomes, and technique in 11 consecutive patients
International Research Society of Spinal Deformities
07/2010

Impact of surgical waitlist times on scoliosis surgery: Surgeon’s perspective
Canadian Orthopaedic Association Annual Meeting
06/2010

Levels of evidence of studies presented at POSNA annual meetings
Canadian Orthopaedic Association Annual Meeting
06/2010

Publication of abstracts submitted to the annual meeting of the Pediatric Orthopaedic Society of North America: Is there a difference between accepted vs. rejected abstracts
Canadian Orthopaedic Association Annual Meeting
06/2010

The levels of evidence in paediatric orthopaedic journals: Where are we now?
Canadian Orthopaedic Association Annual Meeting
06/2010

The levels of evidence in paediatric orthopaedic journals: Where are we now?
Pediatric Orthopaedic Society of North America Annual Meeting
05/2010

Levels of evidence of studies presented at POSNA annual meetings
Pediatric Orthopaedic Society of North America Annual Meeting
05/2010

Publication of abstracts submitted to the annual meeting of the pediatric orthopaedic society of North America: Is there a difference between accepted vs. rejected abstracts?
Pediatric Orthopaedic Society of North America Annual Meeting
05/2010

C1 lateral mass screw fixation in children: Indications, outcomes, and technique in 11 consecutive patients
Pediatric Orthopaedic Society of North America Annual Meeting
05/2010

Impact of surgical waitlist times on scoliosis surgery: Surgeon’s perspective
Pediatric Orthopaedic Society of North America Annual Meeting
05/2010

The effect of surgical timing on operative duration and quality of reduction in Type III supracondylar humeral fractures in children.
Murnaghan ML, Slobogean BL, Byrne A, Tredwell SJ, Mulpuri K
DOI: 10.1007/s11832-010-0240-3
PubMed: 21455472
04/2010

Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger.
Pike J, Mulpuri K, Metzger M, Ng G, Wells N, Goetz T
DOI: 10.1016/j.jhsa.2010.01.005
PubMed: 20353859
04/2010

Do non–steroidal anti–inflammatory drugs inhibit bone healing? A meta–analysis of cohort and case control studies
Canadian Spine Society Annual Meeting
03/2010

The impact of surgical waitlist times on scoliosis surgery: The surgeon's perspective
Canadian Spine Society Annual Meeting
03/2010

Do non–steroidal anti–inflammatory drugs inhibit bone healing? A meta–analysis of cohort and case control studies
Canadian Spine Society Annual Meeting
03/2010

Does degree of immobilization influence refracture rate in the forearm buckle fracture?
Kennedy SA, Slobogean GP, Mulpuri K
DOI: 10.1097/bpb.0b013e32832f067a
PubMed: 19738494
01/2010

Assessing bone microstructure at the distal radius in children and adolescents using HR-pQCT: a methodological pilot study.
Burrows M, Liu D, Perdios A, Moore S, Mulpuri K, McKay H
DOI: 10.1016/j.jocd.2010.02.003
PubMed: 20663697
2010

Iatrogenic ulnar nerve injury after the surgical treatment of displaced supracondylar fractures of the humerus: number needed to harm, a systematic review.
Slobogean BL, Jackman H, Tennant S, Slobogean GP, Mulpuri K
DOI: 10.1097/bpo.0b013e3181e00c0d
PubMed: 20574258
2010

MEDLINE, EMBASE, and Cochrane index most primary studies but not abstracts included in orthopedic meta-analyses.
Slobogean GP, Verma A, Giustini D, Slobogean BL, Mulpuri K
DOI: 10.1016/j.jclinepi.2009.01.013
PubMed: 19364634
12/2009

Minimizing tourniquet pressure in paediatric anterior cruciate ligament reconstructive surgery: A blinded, prospective randomized controlled trial
Canadian Orthopaedic Association Annual Meeting
07/2009

Reproducibility of Herring’s classification using two different techniques and its alteration during the evolution of the disease
Canadian Orthopaedic Association Annual Meeting
07/2009

Pediatric and adult three-dimensional cervical spine kinematics: effect of age and sex through overall motion.
Greaves LL, Van Toen C, Melnyk A, Koenig L, Zhu Q, Tredwell S, Mulpuri K, Cripton PA
DOI: 10.1097/brs.0b013e3181ab65c6
PubMed: 19770607
07/2009

Graft Tensioning in Anterior Cruciate Ligament Reconstruction: A Systematic Review of Randomized Controlled Trials
Knee Surgery and Orthopaedic Sports Medicine Biennial Congress
04/2009

Graft tensioning in anterior cruciate ligament reconstruction: a systematic review of randomized controlled trials.
Arneja S, McConkey MO, Mulpuri K, Chin P, Gilbart MK, Regan WD, Leith JM
DOI: 10.1016/j.arthro.2008.07.010
PubMed: 19171281
02/2009

Methodological Considerations Related to High Resolution pQCT Imaging of the Distal Radius in Children and Adolescents
American Society of Bone Mineral Research Conference
2009

Minimizing tourniquet pressure in pediatric anterior cruciate ligament reconstructive surgery: a blinded, prospective randomized controlled trial.
Reilly CW, McEwen JA, Leveille L, Perdios A, Mulpuri K
DOI: 10.1097/bpo.0b013e31819bcd14
PubMed: 19305279
2009

Principles of evidence-based medicine
Scoliosis Research Society E–Text
2009

Quantifying Risk: The quality of logistic regression models in orthopaedic research with recommendations for standards of reporting
American Academy of Orthopaedic Surgeons Annual Meeting
2009

The appropriate and inappropriate use of child restraint seats in Manitoba.
Blair J, Perdios A, Babul S, Young K, Beckles J, Pike I, Cripton P, Sasges D, Mulpuri K, Desapriya E
DOI: 10.1080/17457300802340980
PubMed: 18821379
09/2008

Pediatric lumbar Chance fractures in British Columbia: chart review and analysis of the use of shoulder restraints in MVAs.
Louman-Gardiner K, Mulpuri K, Perdios A, Tredwell S, Cripton PA
DOI: 10.1016/j.aap.2008.03.007
PubMed: 18606276
07/2008

The International Knee Documentation Committee Subjective Evaluation Form in a preadolescent population: pilot normative data.
Slobogean GP, Mulpuri K, Reilly CW
DOI: 10.1177/0363546507307394
PubMed: 17873153
01/2008

The effect of surgical timing on operative duration and quality of reduction in type III supracondylar humeral fractures in children
Pediatric Orthopaedic Society of North America Annual Meeting
2008

Quantifying risk: The quality of logistic regression models in orthopaedic research with recommendations for standards of reporting
Pediatric Orthopaedic Society of North America Annual Meeting
2008

Skeptical Thinking Series: An introduction to skeptical thinking in the evaluation of claims
Pediatric Orthopaedic Society of North America Annual Meeting
2008

Cost effectiveness of prophylactic pinning following slipped capital femoral epiphysis
Pediatric Orthopaedic Society of North America Annual Meeting
2008

Outcome analysis of chance fractures of the skeletally immature spine.
Mulpuri K, Jawadi A, Perdios A, Choit RL, Tredwell SJ, Reilly CW
DOI: 10.1097/brs.0b013e31815a5986
PubMed: 18007230
11/2007

The spectrum of abdominal injuries associated with chance fractures in pediatric patients.
Mulpuri K, Reilly CW, Perdios A, Tredwell SJ, Blair GK
DOI: 10.1055/s-2007-965587
PubMed: 17968788
10/2007

Evidence-based medicine summary statement.
Andersson GB, Bridwell KH, Danielsson A, Dolan LA, Everett CR, Fisher CG, Mercado E, Mulpuri K, Richards BS, Rubery PT, Sponseller PD, Weinstein JN
DOI: 10.1097/brs.0b013e318134eb03
PubMed: 17728683
09/2007

Evidence-based medicine analysis of all pedicle screw constructs in adolescent idiopathic scoliosis.
Mulpuri K, Perdios A, Reilly CW
DOI: 10.1097/brs.0b013e318134eaa3
PubMed: 17728676
09/2007

The effect of surgical timing on operative duration and quality of reduction in type III supracondylar humeral fractures in children
Canadian Orthopaedic Association Annual Meeting
06/2007

A quality assessment of randomized clinical trials in pediatric orthopaedics
Canadian Orthopaedic Association Annual Meeting
06/2007

The Effect of Age and Gender on the Three-Dimensional Kinematics of the Pediatric Cervical Spine
SAE International Journal of Passenger Cars - Electronic and Electrical Systems
DOI: 10.4271/2007-01-2495
06/2007

Inter–observer agreement in the radiographic diagnosis of avascular necrosis of the femoral head following slipped capital femoral epiphysis
Canadian Orthopaedic Association Annual Meeting
06/2007

The appropriate and inappropriate use of child restraint seats in Manitoba
Western Society for Pediatric Research, Carmel
2007

A quality assessment of randomized clinical trials in pediatric orthopaedics
Pediatric Orthopaedic Society of North America Annual Meeting
2007

A quality assessment of randomized clinical trials in pediatric orthopaedics.
Dulai SK, Slobogean BL, Beauchamp RD, Mulpuri K
DOI: 10.1097/bpo.0b013e3180621f3e
PubMed: 17585270
2007

Comminuted simultaneous bilateral tibial tubercle avulsion fractures: a case report.
Slobogean GP, Mulpuri K, Alvarez CM, Reilly CW
DOI: 10.1177/230949900601400316
PubMed: 17200536
12/2006

Measurement of tissue hardness: can this be a method of diagnosing compartment syndrome noninvasively in children?
Joseph B, Varghese RA, Mulpuri K, Paravatty S, Kamath S, Nagaraja N
DOI: 10.1097/01.bpb.0000236226.21949.5c
PubMed: 17001254
11/2006

Abdominal aortic injuries associated with chance fractures in pediatric patients.
Choit RL, Tredwell SJ, Leblanc JG, Reilly CW, Mulpuri K
DOI: 10.1016/j.jpedsurg.2006.01.069
PubMed: 16769359
06/2006

Outcome analysis of Chance fractures in the skeletally immature spine
Canadian Orthopaedic Association Annual Meeting
06/2006

Abdominal injuries associated with Chance fractures in pediatric patients
Pediatric Orthopaedic Society of North America Annual Meeting
05/2006

Procedural sedation for the reduction of pediatric forearm fractures
Pediatric Orthopaedic Society of North America Annual Meeting
05/2006

Lumbar spine biomechanics of pediatric chance fractures: recommendations for injury prevention
2nd Annual Northwest Biomechanics Symposium
05/2006

Differences in risk factors between early and late diagnosed developmental dysplasia of the hip.
Sharpe P, Mulpuri K, Chan A, Cundy PJ
DOI: 10.1136/adc.2004.070870
PubMed: 16332925
05/2006

Pediatric chance fractures and associated injuries in British Columbia: Recommendations for Injury Prevention
BC Injury Research Conference
03/2006

Low incidence of ulnar nerve injury with crossed pin placement for pediatric supracondylar humerus fractures using a mini-open technique.
Mulpuri K, Tritt BL
DOI: 10.1097/00005131-200603000-00014
PubMed: 16648709
03/2006

Outcome analysis of Chance fractures in the skeletally immature spine
American Academy of Orthopaedic Surgeons Annual Meeting
03/2006

Outcome analysis of Chance fractures in the skeletally immature spine
Canadian Spine Society Annual Meeting
03/2006

Anterior interosseous nerve injury following injection of Botox into the forearm
Canadian Botulinum Toxin Conference (CBTC)
01/2006

Natural evolution of Perthes disease in British Columbia
Indian Orthopaedic Association Annual Meeting
12/2005

Pediatric Chance fractures and associated neurological injury in British Columbia: recommendations for injury prevention
International Collaboration on Repair Discoveries (ICORD) Annual Research Meeting
10/2005

Trans–physeal anterior cruciate ligament reconstruction in skeletally immature patients
Canadian Orthopaedic Association Annual Meeting
06/2005

Iatrogenic ulnar nerve injury in the management of supracondylar fractures: Number needed to harm (NNH)
Canadian Orthopaedic Association Annual Meeting
06/2005

Sternal split approach to the cervicothoracic junction in children.
Mulpuri K, LeBlanc JG, Reilly CW, Poskitt KJ, Choit RL, Sahajpal V, Tredwell SJ
DOI: 10.1097/01.brs.0000164267.30422.a9
PubMed: 15928540
06/2005

Procedural sedation for the reduction of paediatric forearm fractures
Canadian Orthopaedic Association Annual Meeting
06/2005

Iatrogenic ulnar nerve injury in the management of supracondylar fractures: Number needed to harm (NNH)
Pediatric Orthopaedic Society of North America Annual Meeting
05/2005

The natural evolution of Perthes disease in British Columbia
Pediatric Orthopaedic Society of North America Annual Meeting
05/2005

The natural evolution of Perthes disease in British Columbia
Canadian Orthopaedic Association Annual Meeting
05/2005

Trans–physeal anterior cruciate ligament reconstruction in skeletally immature patients
Pediatric Orthopaedic Society of North America Annual Meeting
05/2005

How does a femoral varus osteotomy alter the natural evolution of Perthes' disease?
Joseph B, Rao N, Mulpuri K, Varghese G, Nair S
DOI: 10.1097/01202412-200501000-00002
PubMed: 15577301
01/2005

Sternal split approach to cervicothoracic junction
The 11th Meeting of the Combined Orthopaedic Associations
10/2004

Outcome analysis of paediatric Chance fractures
The 11th Meeting of the Combined Orthopaedic Associations
10/2004

C1–C2 facet screws in paediatric patients
The 11th Meeting of the Combined Orthopaedic Associations
10/2004

Trans–physeal anterior cruciate ligament reconstruction in skeletally immature patients
The 11th Meeting of the Combined Orthopaedic Associations
10/2004

Sternal split approach to cervicothoraic junction
Canadian Orthopaedic Association Annual Meeting
06/2004

Trans–physeal anterior cruciate ligament reconstruction in skeletally immature patients
Canadian Orthopaedic Association Annual Meeting
06/2004

Outcome analysis of chance fractures of the skeletally immature spine
Canadian Orthopaedic Association Annual Meeting
06/2004

Sternal split approach to cervicothoracic junction
Pediatric Orthopaedic Society of North America Annual Meeting
04/2004

Sternal split approach to cervico–thoracic junction
Canadian Spine Society Meeting
03/2004

Sternal split approach to cervico–thoracic junction
Paediatric Orthopaedic Society Annual Meeting
02/2004

C1 – C2 Lateral Mass Screw Fixation
Paediatric Orthopaedic Society Annual Meeting
02/2004

The natural evolution of Perthes Disease – A study of 610 children under 12 years of age at the onset of the disease
Pediatric Orthopaedic Society of North America Annual Meeting
05/2003

The effect of varus femoral osteotomy on the natural evolution of Perthes disease. Is the timing of osteotomy critical?
Pediatric Orthopaedic Society of North America Annual Meeting
05/2003

Optimal timing for containment surgery for Perthes disease.
Joseph B, Nair NS, Narasimha Rao K, Mulpuri K, Varghese G
DOI: 10.1097/00004694-200309000-00006
PubMed: 12960622
2003

Natural evolution of Perthes disease: a study of 610 children under 12 years of age at disease onset.
Joseph B, Varghese G, Mulpuri K, Narasimha Rao K, Nair NS
DOI: 10.1097/00004694-200309000-00005
PubMed: 12960621
2003

Prenatal ultrasonography in antenatal orthopaedics: a new subspecialty.
Foster BK, Furness ME, Mulpuri K
DOI: 10.1097/00004694-200205000-00028
PubMed: 11961465
2002

Management of congenital pseudarthrosis of tibia
South Australian Orthopaedic Meeting
11/2001

Management of cervical spine instability in MPS
Australian and New Zealand Orthopaedic Association Meeting
10/2001

Perthes' disease in the adolescent.
Joseph B, Mulpuri K, Varghese G
DOI: 10.1302/0301-620x.83b5.10663
PubMed: 11476312
07/2001

Clavicular pseudarthrosis
Australian Paediatric Orthopaedic Society Meeting
04/2001

Natural history of Perthes disease in South India: Analysis of 610 children under the age of 12
APOA Meeting
04/2001

Delayed fracture – separation of the capital femoral epiphysis following an ipsilateral transcervical fracture of the femoral neck
Australian Paediatric Orthopaedic Society Meeting
10/2000

Perthes disease in the adolescent
Australian Orthopaedic Association Annual Meeting
10/2000

Delayed separation of the capital femoral epiphysis after an ipsilateral transcervical fracture of the femoral neck.
Joseph B, Mulpuri K
DOI: 10.1097/00005131-200008000-00013
PubMed: 11001422
08/2000

Perthes disease in the adolescent
Pediatric Orthopaedic Society of North America Annual Meeting
05/2000

Intramedullary rodding in osteogenesis imperfecta.
Mulpuri K, Joseph B
DOI: 10.1097/00004694-200003000-00027
PubMed: 10739296
2000

Growth abnormalities in congenital pseudarthrosis of the tibia
44th Annual Conference of Indian Orthopaedic Association
12/1999

Serum antiprotease levels in primary osteoarthrosis of the knee
SIROT 99 Conference
04/1999

Results of intramedullary rodding of lower limb bones in osteogenesis imperfecta
SIROT 99 Conference
04/1999

Adolescent Perthes disease
Annual Conference of Paediatric Orthopaedic Society of India
01/1999

Serum antiprotease levels in primary osteoarthrosis of the knee
SIROT 99 Conference
1999

Functional assessment of upper limb in osteogenesis imperfecta
Annual Conference of Paediatric Orthopaedic Society of India
02/1998

Serum antiproteases in primary osteoarthrosis of the knee
42nd Annual Conference of Indian Orthopaedic Association
11/1997

Research

Legg–Calvé–Perthes Disease
Legg–Calvé–Perthes (Perthes) disease is a self-limiting pediatric hip disorder characterized by disruption of blood flow to the hip joint causing avascular necrosis of the femoral head. It most commonly occurs in children ages 2-12 and is more common in males than in females. Dr. Mulpuri is a member of the Coordinating Committee for the International Perthes Study Group (IPSG), comprised of pediatric orthopaedic surgeons from around the world who each have the goal of advancing knowledge and care of patients with Perthes disease through international collaborative research. Currently, Dr. Mulpuri is leading a number of research studies on Perthes disease being conducted at BC Children’s Hospital, including the international multi-centre IPSG study on the role of non-weightbearing on femoral head shape and outcome after hip surgery for patients with Perthes disease. Other current studies include a Perthes disease-specific validation study for pediatric functional outcome scores.

Cerebral Palsy
Cerebral palsy (CP) is a term that encompasses a group of neurological disorders that affect body movement, posture, muscle coordination and balance. It appears in infancy or early childhood and may lead to chronic disability. Children with severe CP are at high risk for hip dislocations and different treatment strategies exist which have a direct impact on the physical function and quality of life for these children. Dr. Mulpuri was instrumental in creating the first formal hip surveillance program for children with CP in North America – the Child Health BC Hip Surveillance Program for Children with Cerebral Palsy - and is currently active as the medical lead. This province-wide program was developed with the goal of enrolling all patients with cerebral palsy to eventually establish comprehensive monitoring and intervention guidelines for their hips. Dr. Mulpuri is also actively involved in a number of research projects at BC Children’s Hospital which have the aim of assessing and improving the management and functional outcomes of children with CP. He is collaborating with an international network of pediatric orthopaedic surgeons on a multi-centre prospective comparative cohort study investigating the outcomes of hip interventions for children with CP, the first of its scope to systematically study the impact of hip instability and its management on patient quality of life using the validated Child Health Index of Life with Disabilities (CPCHILD©) questionnaire.

Developmental Dysplasia of the Hip
Dr. Mulpuri holds the role of Research Director for the International Hip Dysplasia Institute (IHDI). The IHDI is a not-for-profit organization that is driven by advocacy and philanthropic efforts, with the goal of improving diagnosis, treatment and patient outcomes for children with DDH. DDH is the most common pediatric hip condition that ranges in severity from a mildly dysplastic but reduced hip to a frankly dislocated hip. In order to identify best practices and standardize screening and management decisions, the IHDI began a multi-centre, prospective observational study of infants aged 0 to 18 months with dislocated hips at rest in 2010, and is currently in the process of expanding the study into the first comprehensive prospective DDH registry worldwide. The IHDI study coordinator is a postdoctoral research fellow at UBC and BC Children’s Hospital and the study database is housed at BCCHR. This database will have a direct impact on the treatment methods and standard of care for DDH not only in BC, but also around the world. Every child born is screened for hip instability, with a DDH diagnosis in 15-20/1000 live births, and a dislocated hip diagnosis in 1-2/1000 live births.

Research Group Members

Fiza Syal, Undergraduate Student
Emily Schaeffer
Tammie Teo
Judy Wu, Undergraduate Research Assistant
Eva Habib, Clinical Research Coordinator
Jennifer Farr
Roya Yamini
Shaneel Kumar, Volunteer
Nathan Wei
Dalton Lam
Carly Jones, Graduate Student
Niamul Quader, Doctoral Student
Sima Zakani, Postdoctoral Fellow
Olivia Paserin, Masters Student
Prashant Pandey, Masters Student