1. Astragalectomy can be used to stabilize a flail foot and is an effective method of correcting calcaneus deformity and restoring a good "push off".
2. Fusion between the foot and the leg does not detract from the result if the position is satisfactory.
3. If astragalectomy is done under the age of five, the deformity is apt to recur.
4. If astragalectomy is done over the age of fifteen, pain is a frequent complaint.
5. Preoperative equinus or varus deformity and a strong tibialis anterior are contra-indications to this procedure.