1.About congenital clubfoot Congenital clubfoot is a kind of foot and ankle deformity with clear manifestation at birth, mainly including plantar flexion of the ankle joint, forefoot inversion, hindfoot inversion and midfoot high arch. Horseshoe clubfoot is one of the most common congenital deformities, with approximately 1 in 1,000 children born worldwide having clubfoot. What are the types of congenital clubfoot? (1) idiopathic type: the cause is unknown; (2) postural type: soft, non-fixed deformity; (3) neuromuscular type: foot and ankle deformity associated with neuromuscular disorders, such as spinal dystocia (MMC) or spina bifida with clubfoot deformity; (4) syndromic type: foot and ankle deformity accompanied by known syndromes, such as polyarticular contracture (AMC) with clubfoot deformity. 2.Why should we promote the Ponseti method to treat clubfoot in China? Children with clubfoot are often abandoned or forced to face a poor future. By correcting their feet, they can have a chance to live a normal life. The Ponseti method is a very effective, economical and long term treatment. Primary care workers and surgeons are able to master this treatment and the technique of applying the cast. Surgeons report that surgically treated clubfoot becomes weak, stiff and painful in adulthood. The goal of the Ponseti treatment is to completely eliminate or reduce all factors of clubfoot deformity in order to obtain a functional, flexible, painless, strong, normal-looking foot that can wear shoes with the sole of the foot on the ground. The success rate (in infants and young children without other conditions) can usually exceed 95%. The outcome of treatment depends on: (1) the severity of the clubfoot; (2) the presence of other health problems (e.g., neuromuscular disease, syndromes) (3) the age and stage of physical development of the child at the time treatment is initiated. (4) The experience of the physician and other health care providers (5) Cooperation of parents; (6) Proper use of braces. There are minor differences that may be seen in successfully treated clubfoot: (1) The affected side of the foot is slightly smaller than the normal other side of the foot. (2) The circumference of the lower leg is smaller. (3) The gastrocnemius muscle is shorter. 4.When to start the treatment of Pansetti method? (1) Shortly after birth (7-10 days): Best (2) Children who are not yet walking: Very effective (3) Walking children up to their teens: Effective, correcting all or most of the deformity. Older children may require additional surgery, depending on the severity of the condition and the presence of concomitant health problems. 5. Long-term goals in China: Awareness: To raise awareness of clubfoot and the need for early and effective treatment. Doctors, midwives, and nurses in Chinese hospitals, social welfare institutions, and even small clinics should be well-informed, as should medical students. Every member of society, especially young couples, should be aware of this treatment. This can be done through newspapers, television and the Internet. Build consensus among all foundations that the Ponseti method is an effective treatment for congenital clubfoot. Build capacity to treat congenital clubfoot through training.