II. Indication

  1. Evaluation of Diabetic Foot Ulcer

III. 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

IV. 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

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