Background– Neglected, relapsed and resistant clubfoot is always difficult to manage with the Ponseti technique alone. So we use a new hybrid technique to correct these clubfeet and at the same time keeping the complications of a surgery to a minimum.

Materials and methods– in 25 children with clubfoot (15 unilateral and 10 bilateral) are treated with this method. The 3 week post operative Pirani Scores are assessed .
Result– the results were excellent in 22.9% cases, good in 62.9% cases, and fair in 14.2% cases. Only 1 case had residual deformity at the age of 1 year. The hybrid release is an effective and safe procedure to be used for neglected, relapsed and resistant clubfeet with good to excellent outcomes.