Abstract
1. Tarsal coalition often presents with the clinical picture of a peroneal spastic flat foot, but may present with a painful varus foot and spasm of the tibial muscles.
2. Three cases of tibialis spastic varus foot are described with a calcaneo-navicular bar as the associated anomaly.
3. Complete excision of the bar with interposition of the origin of the extensor digitorum brevis muscle appears to be a satisfactory method of treatment when carried out at a sufficiently early age.