ABSTRACT: Introduction: Untreated clubfoot in adults remains a difficult problem to solve by traditional surgical techniques with many complications. This study discusses the use of Ilizarov external fixator in treatment of neglected clubfoot in adults. Patients and Methods: 15 cases of neglected clubfoot in adults were treated by Ilizarov external fixator in Assiut University Hospital between 2005-2007. They were 9 males and 6 females. There age ranged from 16-50 years. They were followed up for an average period of 20 months. The