Wearing a foot abduction support is a very important phase of the Ponseti method for the treatment of clubfoot. In order to achieve better therapeutic results, there are many aspects that need to be noted: 1. Wearing time When the cast is removed three weeks after Achilles tendotomy, the support must be worn immediately; it should be worn 24 hours a day for three months; after that, the wearing time is shortened to 12 hours at night and 2-4 hours during the day, so that it continues until 3-4 years old. 2, the importance of the support club Pansetti method combined with percutaneous Achilles tendotomy, so that the correction of horseshoe foot to obtain the best results. However, if the club is not applied properly, 80% of the cases will recur. If the parents cooperate and use the club according to the doctor’s instruction, the recurrence rate is only 6%. 3.How to choose the club A qualified club should be the right size, open-toed and high-topped, able to maintain the foot at 70 degrees of abduction; the crossbar connects the two shoes, and the distance is as wide as the shoulder. 4.The time of review after wearing the support club The first review is 2 weeks after wearing the support club, the second review after 3 months, and then every 6 months until the child is 3-4 years old. The content of the follow-up examination is mainly to check whether the child’s foot has recurrence, to adjust the length of the crossbar and the angle of foot abduction, and to check the child’s compliance in wearing the support club, which is very important. (1) Put on cotton socks frequently so that all parts of the foot and leg that the shoes touch are covered; after the last cast is removed, the child’s skin may be sensitive, so you can wear two pairs of socks for the first two days of wearing the club, and only one pair of socks later. (2) When you put on the child’s club, if the child does not refuse, you can put on the worse foot first and then the better foot; if the child kicks a lot, you can put on the better foot first, because the child usually kicks off the second shoe. (3) Put the foot into the shoe by tightening the foot strap first. The foot strap will keep the heel tightly in the shoe. Do not mark the used holes on the ankle strap because after a long time, the strap will be stretched and the markings will be meaningless. (4) Check whether the heel is worn into the shoe by pulling the calf up and down; if the toe moves back and forth, it means the heel is not worn in and you must tighten the foot strap again; after it is worn in, you can draw a line inside the shoe to mark the position of the toe; after the heel is worn into the shoe, the toe should not go beyond the position of the line. (5) Tie the laces tightly, but do not interfere with blood circulation. Remember, the laces are the most important thing that help hold the foot in the shoe. (6) Make sure that your child’s toes are all straight and none are bent; to do this, you can cut the toe portion of your child’s sock to make it easier to see the toes.