Surgery Book

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Wagner Ulcer Classification

Aka: Wagner Ulcer Classification
  1. See Also
    1. Foot Ulcer
    2. Pressure Ulcer Stage
    3. University of Texas Diabetic Wound Classification
  2. Indication
    1. Evaluation of Diabetic Foot Ulcer
  3. Background
    1. Most commonly used classification system for Foot Ulcer
    2. Does not distinguish lesions with ischemia or infection
      1. See University of Texas Diabetic Wound Classification
  4. Wagner Grading System
    1. Grade 1: Superficial Diabetic Ulcer
    2. Grade 2: Ulcer extension
      1. Involves ligament, tendon, joint capsule or fascia
      2. No abscess or Osteomyelitis
    3. Grade 3: Deep ulcer with abscess or Osteomyelitis
    4. Grade 4: Gangrene to portion of forefoot
    5. Grade 5: Extensive gangrene of foot
  5. References
    1. Wagner (1987) Orthopedics 10:163-72 [PubMed]

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