In adults with hemiplegia, 65-75% of the lower limbs can be restored to function, but most of them have trouble lifting the forefoot, scraping the forefoot when walking, and having difficulty walking, as well as falling down and causing fractures or other injuries. What can be done? Due to the progress of rehabilitation medical technology in recent years, there is now a good solution to this problem, which is the reconstruction of lower limb walking function for hemiplegic patients. How to reconstruct? Most patients with fully recovered hemiplegia generally need a specific and suitable support (such as a foot brace), but in addition to being bulky and inconvenient to put on and take off, it is better to do a small surgery to solve the problem of forefoot drooping and scraping the ground through tendon lengthening or tendon transposition. How to choose the time of reconstruction? The motor recovery of hemiplegic patients often occurs 3-4 months after the stroke, when the quality of gait can be improved considerably, but the patient’s ability to recover spontaneously reaches its peak 6-9 months after the stroke. After 8 months of hemiplegia in adults is the best time to choose surgery to improve the prolapsed horseshoe foot. After surgery, not only can the brace be abandoned, the foot droop of forefoot scraping the ground can be corrected, the walking function and gait can be improved, and the progress of lower limb muscle atrophy can be prevented. Attachment: Case: Che, male, 54 years old, 1.5 years after hemiplegia, right hemiplegia, horseshoe inversion deformity of right foot, affecting walking function, functional reconstruction surgery was performed. The figure below. Before correction of clubfoot in hemiplegic patient Before correction of clubfoot in hemiplegic patient After correction of clubfoot in hemiplegic patient