Modern treatment for injuries of the foot and ankle is called cast stable dynamic orthoses. Studies shows VACOped have excellent functional outcomes. With unique design, patients can weight bear earlier, enabling a faster return to normal life including work, sport and day to day activities. The cast is stable which can be achieved through inner vacuum cushion that forms the shape of the leg by evacuating the air, allowing adjustments to be made for swelling, whilst the external shell provides the rigidity. Adjustable range of movement bar allows the boot to be fixed or permit movement dependant on the indication.