Background: Idiopathic clubfoot is characterized by an alteration of the morphology of the foot that cannot physiologically move on the ground. Tibialis anterior tendon transfer was is an effective method in the management of dynamic supination as well as prevention of clubfoot relapse in children. The aim of the current study to confirm the best management of split tibialis anterior tendon transfer in the treatment of residual clubfoot. Patients and methods: A prospective study included 18 patients (22 feet) with residual dynamic supination deformity following previous ponseti management. Patients underwent split transfer of the anterior tibial tendon at Zagazig University hospitals. Clinical and radiographic assessment of outcomes is performed at the end of healing. Results: The present study included 18 cases (12 males and 6 females) with mean age of 3.43 years ± 0.71 to assess outcome of split tibialis anterior tendon transfer in management of residual clubfoot. Patient age ranged from 2.5 years to 5 years old at the time of the operation, 9 with right foot affection, 5 with left foot deformity while 4 patients (8 feet) were bilateral. The majority of cases were males (66.7%) and females were (33.3%).Right side was affected in 9 cases (50%), the left was affected in five .cases (27.8%) while four cases (22.2%) were bilateral. The mean radiological measurment improvement of AP talocalcaneal angle, AP talofirst metatarsal angle, Lattalocalcanael angle, Lattalo-first metatarsal angle, Firstfifth metatarsal over lap, and the improvement of all angles were stastistically significant. The complication rate was 16.7% (3 cases) all had superfecial infection only. Conclusion: The anterior tibial tendon transfer is a practical method for achieving fully or split transfer due to both techniques have an excellent outcomes with low complication. It is simple and effective softtissue procedure to correct the muscle imbalance of the foot. The split tibialis tendon transfer are still better because of low risk of over correction which preserve some inversion function.