Background: Congenital talipes equinovarus varus (CTEV) is one of the most common congenital anomalies foot and ankle affecting 1/1000 live birth approximately. With a male dominance pattern, this deformity bilateral in 50% cases. It has four basic components: cavus, adduction, equinus. Severity clubfoot accessed using Pirani score (0 to 6). Insights into pathoanatomy complex 3 dimensional help...