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Chennai: Hip surgery by a doctor who had no knowledge of the procedure, treatment despite the hospital not having CT scan facilities, use of substandard metal plate and delay in treatmentall these deficiencies in service committed by Bharathi Rajaa hospital in T Nagar, its promoters and orthopaedic surgeon Dr Nagappan came in for flak at a consumer court, which ordered them to pay a compensation of Rs 8.38 lakh to a man injured in a road accident more than 15 years ago."Dr Nagappan has no knowledge of treatment of hip replacement and Bharathi Rajaa hospital does not have sufficient infrastructure for conducting such a surgery," said the district consumer disputes redressal forum, Chennai (north).Because of these deficiencies and failures, David Tyagaraj, a lawyer, who met with a road accident in January 2000, had to fight the case for more than 15 years, and also suffer a permanent disability.Dr Nagappan told the forum that the patient was kept under observation for two days before the surgery was performed on the third day. The universal method of treatment was adopted, he said, adding that bone grafting was also done. But the patient did not heed his advice that he should not walk or bear weight on the right thigh, he said.Rejecting his submissions, the forum bench comprising president K Jayabalan and member T Kaliyarasi said Dr Nagappan consulted a doctor from another hospital, and referred the patient without assigning any reason in the discharge summary for not performing hip replacement. Also, there is nothing on record to show that post-operative care advice was given to the patient who suffered due to a bent metal plate, which needed corrective surgery. "The wait for a period of two to three days to undertake surgery is a clear case of delay," they concluded.