Aims and objectives: To assess the efficacy of the JESS method of differential distraction as a method of treatment in resistant clubfeet and the morbidity and complications of the technique and to suggest ways to overcome themMethodology: The prospective study was done in a tertiary care center involving subjects with old, recurrent and resistant cases of clubfoot deformities treated by Joshi’s external stabilizing system. Results: The cosmetic and functional improvement is satisfactory, bony radiological correction comparable, and the ankle movements especially dorsiflexion better than that produced by open surgery. Conclusion: correction by an external fixator is a useful method for the management of clubfoot in neglected and resistant cases.