Changes in Quality of Life and Psychological Outcomes in Children with Tibial Fractures After Treatment.
- 1Department of Orthopedics, Capital Center for Children's Health, Capital Medical University, Capital Institute of Pediatrics, Beijing, People's Republic of China.
Abstract
Objective
To 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
This 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
No 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
Tibial 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.
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BibTeX
@article{ren2026changes,
title = {{Changes in Quality of Life and Psychological Outcomes in Children with Tibial Fractures After Treatment.}},
author = {Gang Ren and Xin Wang and Zhenjiang Liu},
journal = {Therapeutics and clinical risk management},
year = {2026},
month = oct,
doi = {10.2147/tcrm.s606398},
url = {https://europepmc.org/article/MED/42948348},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Changes in Quality of Life and Psychological Outcomes in Children with Tibial Fractures After Treatment.
AU - Gang Ren
AU - Xin Wang
AU - Zhenjiang Liu
PY - 2026
DA - 2026/10/23
JO - Therapeutics and clinical risk management
DO - 10.2147/tcrm.s606398
UR - https://europepmc.org/article/MED/42948348
AB - Objective To 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 This 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 No 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 Tibial 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.
SN - 1176-6336
SN - 1178-203X
ER -