Abstract
Congenital clubfoot is a complex, frequent deformity that can be challenging even in experienced hands. The Ponseti method remains universally accepted as the gold standard for treatment, and excellent outcomes are within expectations in most cases with appropriate technical management. Recurrences continue to be a problem and are mainly associated with non-compliance with orthosis use. However, other factors may influence the risk of recurrence and contribute to an unsatisfactory outcome. Tibialis anterior transfer balances deforming forces and helps correction as long as the foot is flexible. A recurred deformity is not corrected spontaneously, it requires treatment. Adjuvant surgical procedures should be part of the orthopedist's therapeutic arsenal.