Background Lipomyelomeningocele ( LMM) is a congenital factor that causes clubfoot. This disease often develops into adulthood and often has rigid deformities. This is the most difficult orthopedic and functional reconstruction surgery. Case presentation We reporta case of stiff clubfoot caused by Lipomyelomeningocele（LMM）. Through osteotomy correction and Soft tissue loosening, clubfoot deformity was corrected and good results were achieved. Conclusion The use of osteotomy correction technology combined with Soft tissue loosening to treat adult stiff clubfoot can correct the deformity and restore the shape of the foot and ankle. The effect is definite and it is worthy of popularization and application.