The invention provides a foot holding assembly for securing a foot of a patient during a surgical or diagnostic procedure. The assembly comprises a boot configured to hold the foot of the patient, a rigid sole coupled to the boot and a pivot arm having a first end and a second end rotatably coupled to the sole. The pivot arm may be configured to rotate relative to the sole about an axis oriented perpendicular to the sole. The second end of the pivot arm is rotatably coupled to the sole with a rotatable coupling including a shaft rotatably disposed in a mating bore in the second end of the pivot arm.
