A boot stirrup for use with a surgical table is provided. The boot stirrup includes a support arm, a surgical boot, and a lockable joint coupled to the support arm and the surgical boot. The support arm is configured to couple to a surgical table for movement about a plurality of axes relative to the surgical table. The surgical boot is configured to support and/or immobilize the foot and leg of the patient. The lockable joint is configured to selectively permit movement of the surgical boot relative to the support arm.