Results of surgical reconstruction procedures performed on 43 Charcot feet in 36 patients were reviewed retrospectively and the results demonstrate that these cases are reconstructable by arthrodesis and soft-tissue balancing. The rationale is that deformity, pain and instability should be corrected so that existing ulcers may heal and further ulcers are prevented. This procedure gives the patient better function than traditional ways. The technique used in reconstruction is described. Reconstruction resulted in ulcer resolution and a stable foot that could fit a normal shoe.