If the deformity is severe enough, charcot reconstruction is recommended with either internal or external fixation.

Internal fixation

• The treatment of choice for patients with minimal bone deformity and good bone stock to hold hard ware such as screws and plates.

External fixation

• The application of metal rods above and below the fracture site. The device is attached with screws from outside the body and is placed through the skin to the underlying bones. Advantages of using this technique compared to internal fixation include:
  • Less damage to blood supply and soft tissue
  • Safe to use in cases of bone infection

Below are a few examples: