Objective: To study the effect and factors associated with recurrence after use of the Ponseti method for the treatment of congenital talipes equinovarus in children. Methods: 105 of congenital talipes equinovarus cases were retrospectively analyzed in our hospital in 2013-2016,According to age, they were grouped, and the Pirani score and curative effect were compared. Single factor analysis and multivariate Logistic regression analysis were performed on sex, age of treatment, side, Achilles tendon amputation, initial Pirani score, gypsum correction times and abutment compliance.Results: (1) After treatment,the Pirani scores of all age groups were significantly lower than before,with statistically significance(P<0.05);(2) The children with moderate to severe abnormalities before treatment,close to normal was accounted for 79.78% and mild abnormal children only 20.22%,no moderate and severe abnormalities in children after treatment;(3) The single factor analysis showed the noncompliance and initial pirani score were significantly different between the two groups,while the other factors were not statistically significant. Logistic regression analysis showed noncompliance and initial pirani score were independent factors for recurrence. Conclusion: Ponseti method of CTEV in children is effective,safe and reliable,it is helpful to control the recurrence of children with high initial Pirani score,and to improve the compliance of the orthosis.