Extra-osseous talotarsal stabilisation device for a flail-deformed foot

A young boy in his early childhood was diagnosed with a flail left plano-valgus foot with a tendo-achilles contracture. After ruling out multiple potential treatment options, the surgery chosen was an extra-osseous talotarsal stabilisation device insertion into the subtalar joint with tendo-achilles lengthening. The child's foot was then immobilised for 3 weeks in a below-knee plaster of Paris slab. No intraoperative or postoperative complications were noted. The child can now walk with a plantigrade foot. Being an orthopaedic surgeon often requires us to think outside the box and be familiarised with the armamentarium available at our disposal.