Congenital clubfoot is one of the most common congenital malformed feet, with horseshoe, varus and pronation of hind foot, adduction, varus and high arch of forefoot as the main manifestations. After the birth of congenital clubfoot, the display degree of one or both sides of the foot is different. If the clubfoot deformity is mild, the forefoot adduction and drooping plantar surface appear wrinkles, and the dorsiflexion and abduction have elastic resistance, so that the deformity becomes more and more serious after children learn to walk, and the balance of foot and calf muscle strength is out of balance, and the healthy muscle contracture is combined with weight influence.

Congenital clubfoot is a common deformity in children, which seriously affects the growth and development of children's bones and joints. It may be the most common congenital deformity in orthopedics and needs special treatment. In China, a large number of advanced cases are caused by the lack of medical resources. The traditional surgical treatment methods often cause joint stiffness because of the late treatment time, large surgical trauma and large foot tissue damage, and there are many problems in the long-term functional results, which affect the activities of the ankle.

Firstly, massage and plaster fixation are used to treat the disease in the early stage. If the conservative treatment effect is not ideal, surgery can be used for treatment. Generally, surgical treatment is divided according to different age groups. The commonly used surgical methods include soft tissue release, calcaneus wedge osteotomy, soft tissue release, tendon transfer, osteotomy and orthopedics, tarsal three-joint fusion, osteotomy and orthopedics, etc.

Within three months, most patients tend to be conservative and have manual massage. Move the varus foot to the outside, stretch back as far as possible, stretch the tendon and contracture tissue on the back side, and wear braces to fix it after traction to a certain extent. After one year old, patients can choose surgery to treat them. The most commonly used surgery is extensive release of the posterior medial side, which releases the contracture tissue and fixes it with plaster. It is suggested that the transposition of the anterior tibial tendon should be done at the age of three to six to restore the valgus function. The transposition of anterior tibial tendon can also be properly selected to assist posterior release and surgical treatment of horseshoe foot.