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Equinus deformity secondary to hemangioma of the calf in children can be difficult to treat. Several modes of treatment may be considered, such as radiotherapy, electrocoagulation, surgery, cryosurgery, carbon dioxide snow, silver nitrate, and sclerosing solutions. In this report, we present one case of equinus deformity caused by an extensive hemangioma in the calf muscles that was treated by an Ilizarov external fixator. The techniques offered the patient considerable relief with minimal complications.