Background: Clubfoot or CTEV is one of the most common serious congenital musculoskeletal anomalies with a worldwide incidence of 1 in 1000 live births. Approximately 80% of clubfoot occur as isolated birth defects and are considered idiopathic. Males are more frequently affected (2:1 male to female ratio), bilateral in approximately 50% of all cases, and the right foot is more often affected in unilateral cases.