Introduction - A 20-year-old female who presented with multiply recurrent giant cell tumour (GCT) of the left calcaneum and destruction of talus. To our knowledge, there has been no literature published on the method for reconstruction of the hind foot after complete removal of both calcaneum and talus. Case presentation - She was managed with an en-bloc talocalcaneal resection and reconstruction with femoral head allograft. She developed soft tissue recurrence at one year and was managed with wide excision of the soft tissue component and flap coverage. Conclusion - At 5 years follow up, she was free of recurrence and had painless ambulation.This case illustrates successful use of femoral head allograft for reconstruction of both talus and calcaneum, and management of soft tissue recurrence with wide local excision.