The VACOcast Fracture Orthosis Walking Boot is the best orthopedic fracture walking boot on the market. A 90º fixed-angle and four-strap system provide you with maximum security. The VACOcast family of orthoses have a patented vacuum-relief insert. This allows you to create a “custom-molded” fit that is specific to your anatomy and is markedly more comfortable and stable than any other orthopedic boot on the market.

Another great feature is the removable Rocker Sole which allows for a comfortable walking gait and let’s you keep dirt and grime off of furniture and out of your bed.

Ideal for… Other medical indications
  • Ankle fractures
  • Foot fractures
  • Lower-leg fractures
  • Severe sprains
  • Ankle joint replacement
  • Arthrodeses of upper and lower ankle joint
  • Calcaneus (heel) fractures
  • Complex ligament injuries
  • Metatarsal fractures
  • Severe sprains
  • Soft tissue injuries with impaired healing
  • Splinting of foot and lower leg

To review with your doctor, send a link to our product page  or download our PDF

Article number: VPCA-01-1-S/M/L

Note: Actual liner color may differ from picture.

When walking in a boot, there can be a leg length discrepancy that can cause strain on your hips, which can become painful to deal with. Try our EVENup Shoe Lift to alleviate the discomfort associated with this discrepancy!

Each VACOcast Fracture Orthosis Walking Boot comes with one vacuum relief insert and Bulb Pump, one removable cloth liner, and one detachable Rocker Sole.  Additional accessories are available to accommodate for larger or smaller than average calf sizes (Liner Extension and Extra Long Strap).

If you are in between sizes we generally recommend that you choose the smaller size, however, this varies by patient. If you are uncertain as to which size to order, please contact us PRIOR to placing your order so that we may assist you. We are available by email at or by phone 1-800-334-1906, Monday-Friday 9AM-4PM EST.

Please call us before ordering an additional orthosis in a different size or returning your original orthosis to us, as there are some general adjustment techniques that we can walk you through.

We are happy to provide you with an exchange for sizing issues within 7 days if we have assisted you with fitting questions PRIOR to you placing your order. If after speaking, we determine that an exchange is the best option, the orthosis you return must be in new and re-sellable condition when we receive it.

Please Note: We are unable reimburse for shipping if you do not contact us PRIOR to placing your order with any fitting questions.

Shoe Size M 5-8 | W 6.5-9.5 M 8-11 | W 9.5-13 M 11+ | W 13+
Length Positions
9.3″ / 9.7″ / 10.1″ 10.4″ / 10.8″ / 11.2″ 11.3″ / 11.7″ / 12.2″
Foot Width 4.1″ 4.7″ 5.3″
Ankle Circumference 5.5-11″ 8-16″ 12-18″
Calf Circumference 9-15″ 13.5-20″ 15-23″