Purpose: In order to improve our understanding of club-foot, an international rating system of evaluation is proposed which is supported by the International Club Foot Study Group (ICFSG).

Method: All the parameters of the assessment shall be objective. They are clinical and radiographic. On the clinical side, the morphology of foot is assessed for the hindfoot, midfoot and the forefoot. Then, the global morphology of the foot and lower limb is assessed. But the function of the foot is the major criteria which enhances the value of the outcome. It is assessed on the passive motion of the different parts of the foot. Then, the active motion is evaluated. Arc added a clinical gait analysis and the occurrence of eventual pain. On the radiographic side, the various angles of bones axes are calculated on AP and lateral views.

Results: The score of Outcome Evaluation ranges from 0 up to 60 points, the latter expressing the worst result. Four groups of results are mentioned so as excellent, good, fair and poor. The Outcome Evaluation should be performed at 6 years old and at the end of the growth.

Conclusion: The Outcome Evaluation will allow us to be able to compare truly the forthcoming series of club-foot.