Horseshoe clubfoot is a complex congenital deformity that includes horseshoe, arched foot, inversion, inversion, and inversion deformity, with an incidence of about 1 per 1,000, half of which is bilateral, usually more in males. The cause of clubfoot is multifaceted, and the incidence is 30 times higher in people with a family history of clubfoot than in normal people. Clubfoot can be combined with other congenital anomalies such as neurological defects, urinary and digestive anomalies, and other musculoskeletal deformities. Untreated clubfoot can produce severe disability, with the skin on the lateral side of the foot becoming a weight-bearing area, forming calluses and thick calluses, and making walking difficult. The goal of treatment for clubfoot is to correct the deformity and preserve its mobility and strength by restoring the plantar foot, i.e., the plantar foot on the ground with a normal weight-bearing area. This includes the ability to wear normal shoes and have a satisfactory appearance. The current trend of treatment is more toward early plaster treatment, which can be done right after birth. After a series of about 5 to 8 weekly plaster orthoses, including the last percutaneous Achilles tendonotomy, the plaster orthoses need to be followed by all-day abduction braces for more than 3 months, and then nighttime abduction braces for 3 to 5 years, most children can be cured, and some still have residual deformities that require tendon transposition in childhood. If the deformity is not treated in early childhood, the deformity is often severe, requiring extensive release of the posterior medial and lateral soft tissues, or even osteotomy, or in more severe cases, salvage surgery, including talar resection, triple joint fusion, or external fixation brace treatment. If you find that your child has clubfoot, please do not hesitate to bring him in for treatment as soon as possible in order to restore the normal function of the foot to the maximum.