Calcaneal Lengthening Osteotomy in Cerebral Palsy: Does Age at Intervention Influence Outcomes?

Both cohorts showed significant improvement in nearly all radiographic parameters postoperatively (P<0.05), with no differences between groups at long-term follow-up.

Overcorrection requiring revision occurred in 2 feet, both in the younger cohort.

Persistent pain was reported in ~10% of patients in both groups.

Pedobarographic analysis demonstrated improvement in fore-aft loading and directionally more normalized loading in the medial-lateral distribution in both cohorts, although medial-lateral changes were not statistically significant.