Charcot Foot Beaming

Charcot Foot Beaming Surgery in Hawaii

Charcot foot beaming is a surgical technique used to stabilize the foot in patients with Charcot arthropathy, a condition characterized by bone weakening, fractures, and collapse—most commonly in the setting of neuropathy.

Surgery is typically considered for patients with significant deformity, instability, recurrent ulceration, or failure of non-surgical management.

How Surgery Is Performed

Charcot beaming involves realigning and stabilizing the collapsed foot using long intramedullary beams or screws placed across affected joints. These beams act as internal support to maintain alignment while the bones fuse and heal.

The procedure may be combined with additional fixation, soft-tissue procedures, or joint fusion depending on deformity severity.

Goals of surgery include:

  • Restoring a stable, plantigrade foot

  • Preventing further collapse or deformity

  • Reducing ulcer risk and skin breakdown

  • Preserving limb function

Recovery After Surgery

Recovery following Charcot beaming is prolonged and highly protective.

Typical recovery progression includes:

  • Strict immobilization with prolonged non–weight bearing

  • Gradual transition to protected weight bearing once healing is established

  • Physical therapy focused on safe gait training and functional mobility

  • Long-term use of bracing or custom footwear to protect reconstruction

Recovery often spans many months, and close follow-up is required to monitor healing and prevent complications.

Risks and Considerations

Risks include infection, hardware failure, nonunion, recurrent deformity, and wound complications. Due to underlying neuropathy, careful postoperative protection and compliance are critical to success.

Office Location

30 Aulike St. Suite 201
Kailua, HI 96734

Contact Information

scheduling@windortho.net
(808) 261-4658

Surgical Facilities

Castle Medical Center

Windward Surgery Center

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