PDF(Sci-hub)
Abstract：
Hip displacement is a common orthopedic problem in children with cerebral palsy (CP) that can result in significant morbidity. Hip surveillance has been shown to reduce the incidence of hip dislocations in children with CP and to reduce the need for salvage hip surgeries. Guidelines for hip surveillance have been developed and can be adapted to meet local needs. Implementation of surveillance guidelines for a population of children is complex and highly dependent upon the region, province/state, or country\'s system of care for children with CP. Recognizing that implementation of the evidence on hip surveillance was necessary in British Columbia, a Canadian province spanning 1 million square kilometers, a comprehensive, coordinated approach to hip surveillance was developed collaboratively by provincial stakeholders. Surveillance guidelines and a desired implementation plan were established based on the best available research evidence, current international practice, and service delivery in British Columbia. Staged implementation preceded full provincial roll out. Implementation was supported by detailed communication, knowledge translation, and evaluation plans. This province-wide hip surveillance program is the first of its kind in North America.
摘要：
髋关节移位是脑瘫（CP）儿童的常见骨科问题，可导致严重的发病率。髋关节监测已被证明可以减少CP患儿髋关节脱位的发生率，并减少对挽救性髋关节手术的需要。已经制定了髋关节监测指南，可以根据当地需求进行调整。针对儿童群体的监测准则的实施是复杂的，高度依赖于该地区，省/州,或国家对CP儿童的照顾系统。认识到不列颠哥伦比亚省有必要实施髋关节监测证据，加拿大一个占地100万平方公里的省份，一个全面的，省级利益相关者合作开发了髋关节监测的协调方法。根据现有的最佳研究证据制定了监测指南和预期的实施计划，当前国际惯例,和不列颠哥伦比亚省的服务交付。分阶段实施先于省级全面推出。实施得到了详细沟通的支持，知识翻译,和评估计划。这个全省范围的髋关节监测计划是北美第一个此类项目。
