Charcot foot is a serious condition most often seen in people with diabetes or peripheral neuropathy. It occurs when the bones, joints, and soft tissues of the foot weaken, leading to fractures, dislocations, and significant deformity. If not addressed, Charcot foot can result in severe instability, ulceration, and even amputation.

Reconstruction surgery offers patients the chance to restore stability, reduce pain, and preserve the function of the foot.

Why Charcot Foot Requires Surgical Care

When Charcot arthropathy progresses, conservative measures like casting or bracing may no longer be enough. In advanced cases, the bones may collapse or shift, creating a "rocker-bottom" foot deformity. Surgery becomes necessary to:

• Realign the bones for better stability
• Reduce pressure points that can cause ulcers
• Correct deformities that interfere with walking
• Prevent further complications and protect against amputation

Charcot Foot Reconstruction Techniques

Reconstruction is highly individualized, depending on the severity of damage and which part of the foot or ankle is involved. Common surgical techniques include:

• Osteotomy – Cutting and reshaping bones to correct deformity.
• Arthrodesis (fusion) – Fusing unstable joints to provide lasting support.
• Internal fixation – Using plates, screws, or rods to stabilize fractured bones.
• External fixation – Attaching a frame outside the foot and ankle to hold bones in place during healing.

In many cases, multiple techniques are combined for the best outcome.

Benefits of Reconstruction Surgery

While recovery requires patience, successful Charcot foot reconstruction can:

• Preserve the natural foot structure
• Prevent amputation in severe cases
• Improve mobility and independence
• Reduce pain from deformity and instability
• Protect against recurrent ulcers and wounds

When to Talk to a Specialist

If you have diabetes, neuropathy, or any foot deformity that seems to be worsening, early evaluation is key. Charcot foot progresses quickly and is often painless due to nerve damage, meaning serious injury can occur before you realize it.

Reconstructive surgery, performed by an experienced orthopedic or podiatric surgeon, may be the best option to preserve mobility and quality of life.

Our team at Total Spine has experts dedicated to treating charcot foot and other conditions in the feet and ankles. If you'd like to make an appointment you can call (321) 499-4646 or fill out the form on this page.

Disclaimer: This article is for informational purposes only and is not a substitute for a consultation with a licensed healthcare professional.