{
  "abstract": "Objective\n\nTo evaluate changes in quality of life (QoL) and psychological outcomes in children with tibial fractures after treatment, stratified by age groups (0-<6, 6-<12, ≥12 years), and identify age-specific recovery patterns.Methods\n\nThis study enrolled 193 children (aged 0-16 years) with isolated tibial fractures treated at Center for Children's Health, Capital Medical University from November 2024 to September 2025. Groups: 0-<6 years (n=39), 6-<12 years (n=108), ≥12 years (n=46). Exclusion criteria included multiple fractures, relevant comorbidities, cognitive impairment affecting assessment, and incomplete data; treatment modality or fixation type was not used as an exclusion criterion. PedsQL assessments were performed before treatment and once at the 3- to 6-month post-treatment follow-up. Data were analyzed with SPSS 26.0 using ANOVA/Kruskal-Wallis tests, chi-square/Fisher's exact tests, and paired t-tests.Results\n\nNo significant differences in demographics, injury mechanisms, severity (AIS/ISS), complications, operative time, hospitalization, weight-bearing time, or immobilization across groups (P>0.05). All groups showed significant PedsQL improvements post-treatment (P<0.001): physical (76-79 to 93-94), emotional (70-83 to 91-95), social (72-75 to 89-94), school (71-74 to 90-92), psychosocial (69-77 to 92-94), total (74-79 to 93-95). Younger groups had lower pre-treatment emotional/psychosocial scores but greatest gains; post-treatment differences minimal except emotional/social (P=0.003).Conclusion\n\nTibial fracture treatment yields substantial QoL and psychological improvements across ages, with younger children showing resilience in emotional/psychosocial recovery. Age-sensitive follow-up that includes rehabilitation guidance and psychosocial screening may help identify children needing additional family, school, or psychological support.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedics, Capital Center for Children's Health, Capital Medical University, Capital Institute of Pediatrics, Beijing, People's Republic of China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Gang Ren"
    },
    {
      "affs": [
        0
      ],
      "name": "Xin Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhenjiang Liu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8v3w30cgftg0c.bib",
  "cited_by": 0,
  "doi": "10.2147/tcrm.s606398",
  "fulltext_url": "https://europepmc.org/articles/PMC13712220",
  "id": "8v3w30cgftg0c",
  "issns": [
    "1176-6336",
    "1178-203X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42948348",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2713|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7223361663",
  "pdf_url": "https://europepmc.org/articles/PMC13712220?pdf=render",
  "pmcid": "PMC13712220",
  "pmid": "42948348",
  "published": "2026-10-23",
  "publisher": "Dove Press",
  "ris": "https://research.draconitic.com/paper/8v3w30cgftg0c.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:34Z",
      "native_id": "MED:42948348",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42948348"
    },
    {
      "first_seen": "2026-10-31T12:22:51Z",
      "native_id": "PMC13712220",
      "source": "pmc",
      "url": "https://doi.org/10.2147/tcrm.s606398"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Bone fractures and treatments",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Changes in Quality of Life and Psychological Outcomes in Children with Tibial Fractures After Treatment.",
  "title_text": "Changes in Quality of Life and Psychological Outcomes in Children with Tibial Fractures After Treatment.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:22:51Z",
  "url": "https://research.draconitic.com/paper/8v3w30cgftg0c",
  "venue": "Therapeutics and clinical risk management",
  "versions": []
}