{"id":"https://openalex.org/W7207616459","doi":"https://doi.org/10.1016/j.jposna.2026.100456","title":"The Hidden Costs of Long vs Short Leg Casting in Pediatric Fracture Care","display_name":"The Hidden Costs of Long vs Short Leg Casting in Pediatric Fracture Care","publication_year":2026,"publication_date":"2026-09-04","ids":{"openalex":"https://openalex.org/W7207616459","doi":"https://doi.org/10.1016/j.jposna.2026.100456","pmid":"https://pubmed.ncbi.nlm.nih.gov/42920956","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13692074"},"language":"en","primary_location":{"id":"doi:10.1016/j.jposna.2026.100456","doi":"https://doi.org/10.1016/j.jposna.2026.100456","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2026.100456","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2768276526001355/pdf","source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.sciencedirect.com/science/article/pii/S2768276526001355/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159090039","display_name":"Olivia Ullmann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Olivia Ullmann","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147716826","display_name":"Simon Blanchard","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Simon Blanchard","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070756132","display_name":"Nathan Chaclas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathan Chaclas","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111245508","display_name":"Carter E. Hall","orcid":"https://orcid.org/0009-0003-6196-3871","observed_orcids":["https://orcid.org/0009-0003-6196-3871"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carter E. Hall","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086541423","display_name":"Casey C. Kuka","orcid":"https://orcid.org/0009-0004-8763-9671","observed_orcids":["https://orcid.org/0009-0004-8763-9671"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Casey C. Kuka","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079037674","display_name":"Morgan G. Batley","orcid":"https://orcid.org/0000-0003-4004-0237","observed_orcids":["https://orcid.org/0000-0003-4004-0237"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Morgan Batley","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133420212","display_name":"Daniel Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Yang","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103921991","display_name":"Sulagna Sarkar","orcid":"https://orcid.org/0009-0005-1201-9272","observed_orcids":["https://orcid.org/0009-0005-1201-9272"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sulagna Sarkar","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055606265","display_name":"Wudbhav N. Sankar","orcid":"https://orcid.org/0000-0001-9313-8006","observed_orcids":["https://orcid.org/0000-0001-9313-8006"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Wudbhav N. Sankar","raw_affiliation_strings":["Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":"https://orcid.org/0000-0001-9313-8006","affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5055606265"],"corresponding_institution_ids":["https://openalex.org/I1335321130"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":{"value":1500,"currency":"USD","value_usd":1500},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.61596325,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"100456","last_page":"100456"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8209999799728394},{"id":"https://openalex.org/keywords/caregiver-burden","display_name":"caregiver burden","score":0.984000027179718},{"id":"https://openalex.org/keywords/psychosocial-burden","display_name":"psychosocial burden","score":0.8180000185966492},{"id":"https://openalex.org/keywords/socio-economic-impacts","display_name":"socio-economic impacts","score":0.7570000290870667},{"id":"https://openalex.org/keywords/missed-school-days","display_name":"missed school days","score":0.8840000033378601},{"id":"https://openalex.org/keywords/lost-workdays","display_name":"lost workdays","score":0.7680000066757202},{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":0.593999981880188},{"id":"https://openalex.org/keywords/transportation-barriers","display_name":"transportation barriers","score":0.4970000088214874},{"id":"https://openalex.org/keywords/family-breakdown","display_name":"family breakdown","score":0.414000004529953},{"id":"https://openalex.org/keywords/cast-removal","display_name":"cast removal","score":0.6570000052452087},{"id":"https://openalex.org/keywords/pediatric-quality-of-life-inventory","display_name":"PedsQL","score":0.6859999895095825}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6191999912261963},{"id":"https://openalex.org/C16635281","wikidata":"https://www.wikidata.org/wiki/Q496098","display_name":"Casting","level":2,"score":0.4715000092983246},{"id":"https://openalex.org/C77595967","wikidata":"https://www.wikidata.org/wiki/Q3151013","display_name":"Forensic engineering","level":1,"score":0.35030001401901245},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3418000042438507},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.3239000141620636},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2782999873161316},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.26269999146461487},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.249099999666214},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.23989999294281006},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.23559999465942383}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jposna.2026.100456","doi":"https://doi.org/10.1016/j.jposna.2026.100456","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2026.100456","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2768276526001355/pdf","source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13692074","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13692074/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13692074/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Pediatr Soc North Am","raw_type":"Text"},{"id":"pmid:42920956","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42920956","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d0576a5c38e14b6f937012609ab19677","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d0576a5c38e14b6f937012609ab19677","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America, Vol 17, Iss , Pp 100456- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jposna.2026.100456","doi":"https://doi.org/10.1016/j.jposna.2026.100456","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2026.100456","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2768276526001355/pdf","source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7207616459.pdf","grobid_xml":"https://content.openalex.org/works/W7207616459.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1969533885","https://openalex.org/W1985981575","https://openalex.org/W2009669321","https://openalex.org/W2029035190","https://openalex.org/W2039614677","https://openalex.org/W2050878694","https://openalex.org/W2163121913","https://openalex.org/W2168448906","https://openalex.org/W3029252037","https://openalex.org/W3049246120","https://openalex.org/W3120572176","https://openalex.org/W4206913100","https://openalex.org/W4281953061"],"related_works":["https://openalex.org/W7165128527","https://openalex.org/W3120572176","https://openalex.org/W2335604126","https://openalex.org/W4409211626","https://openalex.org/W4296240150","https://openalex.org/W3204639663","https://openalex.org/W3049246120","https://openalex.org/W2528722856","https://openalex.org/W3084649633","https://openalex.org/W4384211781"],"abstract_inverted_index":{"ABSTRACT":[0],"Introduction":[1],"Long":[2,353],"leg":[3,8,354,367],"casting":[4,9,339,355],"(LLC)":[5],"and":[6,25,33,40,45,51,84,92,98,102,107,136,244,263,279,294,297,308,316,343,349,389,393,432,438],"short":[7,366],"(SLC)":[10],"are":[11],"common":[12],"treatments":[13],"for":[14,68,112,118,142,230,372],"pediatric":[15,43,62,320,347,442],"lower-extremity":[16,69,321,443],"fractures,":[17],"yet":[18],"little":[19],"is":[20],"known":[21],"about":[22],"their":[23,350],"psychosocial":[24,315,437],"socioeconomic":[26,317,439],"impact.":[27],"This":[28],"cross-sectional":[29,56],"survey":[30],"study":[31,58],"quantified":[32],"compared":[34,276,396],"the":[35,314,416,436],"biopsychosocial":[36],"burden":[37,405,440],"of":[38,80,126,194,274,289,319,324,363,384,400,418,441],"LLC":[39,138,158,267],"SLC":[41,134,147],"on":[42,87,346],"patients":[44,63,135,144,190,348],"caregivers":[46,201],"using":[47],"validated":[48],"outcome":[49],"measures":[50],"qualitative":[52],"analysis.":[53],"Methods":[54],"A":[55,124],"observational":[57],"was":[59,114,216,235,268,356,406],"performed":[60,115],"among":[61],"(2-18":[64],"years)":[65],"who":[66],"presented":[67],"cast":[70,174,413],"removal":[71],"from":[72],"2022-2025.":[73],"Patient-guardian":[74],"dyads":[75,129],"completed":[76],"age-appropriate":[77],"Pediatric":[78],"Quality":[79],"Life":[81],"Inventory":[82],"(PedsQL)":[83],"Revised":[85],"Impact":[86],"Family":[88],"Scale":[89],"(rIOFS)":[90],"questionnaires":[91],"provided":[93],"open-ended":[94],"responses":[95],"regarding":[96],"disruptions":[97],"mobility-related":[99],"challenges.":[100],"Demographic":[101],"clinical":[103,335],"information":[104],"were":[105,130,283,378],"collected,":[106],"multivariate":[108],"linear":[109],"regression":[110],"controlling":[111,141,229],"age":[113],"to":[116,179,397],"account":[117],"baseline":[119],"differences":[120],"between":[121,173],"groups.":[122],"Results":[123],"total":[125],"136":[127],"patient-guardian":[128],"enrolled,":[131],"including":[132],"68":[133,137],"patients.":[139],"After":[140],"age,":[143],"treated":[145,156],"with":[146,157,219,237,256,270,277,285,358,380,408],"reported":[148,183,202],"PedsQL":[149,184],"scores":[150,185,209],"11.4":[151],"points":[152,187],"higher":[153],"than":[154,189,365],"those":[155],"(66.7\u00b1":[159],"14.3":[160],"vs.":[161,197,211],"56.6\u00b116.3,":[162],"p<0.001).":[163],"Caregiver":[164,404],"burden,":[165,204,293,388],"measured":[166],"by":[167,206],"rIOFS,":[168],"did":[169],"not":[170,217,412],"significantly":[171,359],"differ":[172],"lengths":[175],"(p=0.138).":[176],"Patients":[177],"restricted":[178],"complete":[180,280],"non-weight-bearing":[181,281,376],"(NWB)":[182],"17.0":[186],"lower":[188,207,337,360],"permitted":[191,401],"any":[192,220,398],"degree":[193,399],"weight-bearing":[195,310,409,431],"(58.0\u00b114.8":[196],"73.1\u00b115.0,":[198],"p<0.001),":[199],"while":[200],"greater":[203,295,386],"reflected":[205],"rIOFS":[208],"(44.3\u00b18.6":[210],"48.9\u00b17.2,":[212],"p=0.002).":[213],"Cast":[214],"length":[215],"associated":[218,236,269,284,357,379,407],"difference":[221],"in":[222],"missed":[223,240,249,391],"school":[224,241,392],"or":[225],"caregiver":[226,247,292,387,394],"workdays":[227,248,395],"after":[228,370],"age.":[231,373],"However,":[232],"NWB":[233],"status":[234],"4.8":[238],"additional":[239,246],"days":[242],"(p=0.026)":[243],"1.7":[245],"(p=0.004).":[250],"Qualitative":[251],"analysis":[252],"revealed":[253],"families":[254],"struggled":[255],"transportation,":[257],"obtaining":[258],"medical":[259],"equipment,":[260],"physical":[261],"strain,":[262],"social":[264],"isolation.":[265],"Conclusion":[266],"worse":[271,286,381],"patient-reported":[272,361],"quality":[273,288,362,383],"life":[275,364],"SLC,":[278],"restrictions":[282,377,410],"patient":[287,382],"life,":[290,385],"increased":[291,390],"educational":[296],"occupational":[298],"disruption.":[299],"When":[300,423],"clinically":[301,424],"feasible,":[302],"treatment":[303,426],"strategies":[304,427],"that":[305,428],"promote":[306],"mobility":[307,419,433],"permit":[309],"may":[311,434],"help":[312],"mitigate":[313],"burdens":[318,345],"casting.":[322,444],"Level":[323],"Evidence":[325],"III,":[326],"Cross-Sectional":[327],"Observational":[328],"Survey":[329],"Study":[330],"Key":[331],"Concepts":[332],"\u00b7":[333,352,374,403,422],"Beyond":[334],"outcomes,":[336],"extremity":[338],"imposes":[340],"psychosocial,":[341],"physical,":[342],"logistical":[344],"families.":[351],"casting,":[368],"even":[369],"adjustment":[371],"Complete":[375],"weight-bearing.":[402],"but":[411],"length,":[414],"highlighting":[415],"importance":[417],"during":[420],"treatment.":[421],"appropriate,":[425],"maximize":[429],"safe":[430],"reduce":[435]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-09-04T00:00:00"}
