Charcot Neuro-Osteoarthropathy: A new Risk Class is Needed?

prevalence was higher in HR patients, revascularization rates among those with PAD were higher in the CNO cohort, likely reflecting differences in referral thresholds and care pathways rather than PAD prevalence alone. In Year 2, intensified surveillance in CNO patients was associated with a marked reduction in re-ulceration (18.5% vs 70.4%); trends towards fewer amputations and revascularizations were observed.ConclusionChronic CNO appears to represent a distinct high-risk recurrence phenotype not fully reflected by current IWGDF risk stratification. While limited by sample size and single-centre design, these findings support further evaluation of CNO-specific surveillance strategies and consideration of CNO as a separate risk stratum within the IWGDF framework.