Background: The present study was undertaken to compare the results of PMSTR and JESS fixator among children presenting with neglected, resistant and relapsed or recurrent club foot and compare these procedures. Methodology: This was prospective comparative study conducted on 38 children with club foot during a period of 6 months at our institute. All the children fulfilling the inclusion criteria were divided into 2 groups– children of Group 1 were managed with PMSTR using Turco’s Approach. Whereas children of group 2 were managed using JESS. All the cases were examined clinically and were followed up regularly. Results: Of the 28 feet subjected to PMSTR procedure it was observed that 17 feet (60.7%)were in the category of satisfactory rating whereas out of 22 feet subjected to Differential Distraction Method using JESS FIXATOR it was observed that 20 feet (90.9%) were in the category of satisfactory rating. Conclusion: Surgical correction using JESS is suited for a cases with neglected, resistant and relapsed or recurrent CTEV and when the child presents late. However JESS yield better results if treatment is initiated before two years of age. Though even in those presenting late at 2 to 4 years of age, correction using JESS offers good clinical and radiological outcome