Procedure · Midfoot & Hindfoot

Charcot Foot Reconstruction

Charcot reconstruction realigns and stabilizes a collapsed diabetic foot, allowing braceable shoe wear and preventing ulcers and amputation.

Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon

Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors

Indications
  • Unstable Charcot deformity
  • Recurrent ulceration over deformity
  • Inability to brace the foot
How the procedure is performed

Long internal fixation (beams and bolts) or external fixation realigns and stabilizes the midfoot and hindfoot. Bone grafting is used as needed.

Regional or general anesthesia.
Recovery timeline
  • Non-weightbearing 3–6 months
  • Bracing in CROW boot through year 1
  • Long-term diabetic shoes
Potential risks
  • Wound healing problems
  • Infection
  • Hardware failure
  • Need for revision
  • Amputation risk (much lower than untreated Charcot)

Frequently asked questions

Will this save my foot?

Charcot reconstruction is limb-preserving — it dramatically reduces amputation risk in the right patients.

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