Wagner and
the University of Texas Wound
Classification Systems of
Diabetic Foot Ulcers
Wagner
Classification of Diabetic Foot
Ulcers
Grade 0: No
ulcer in a high risk foot.
Grade 1:
Superficial ulcer involving
the full skin thickness but
not underlying tissues.
Grade 2:
Deep ulcer, penetrating down
to ligaments and muscle, but
no bone involvement or abscess
formation.
Grade 3:
Deep ulcer with cellulitis or
abscess formation, often with
osteomyelitis.
Grade 4:
Localized gangrene.
Grade 5:
Extensive gangrene involving
the whole foot.
University of
Texas Wound Classification
System
of Diabetic
Foot Ulcers
Grade I-A:
non-infected, non-ischemic
superficial ulceration
Grade I-B:
infected, non-ischemic
superficial ulceration
Grade I-C:
ischemic, non-infected
superficial ulceration
Grade I-D:
ischemic and infected
superficial ulceration
Grade II-A:
non-infected, non-ischemic
ulcer that penetrates to
capsule or bone
Grade II-B:
infected, non-ischemic ulcer
that penetrates to capsule or
bone
Grade II-C:
ischemic, non-infected ulcer
that penetrates to capsule or
bone
Grade II-D:
ischemic and infected ulcer
that penetrates to capsule or
bone
Grade
III-A: non-infected,
non-ischemic ulcer that
penetrates to bone or a deep
abscess
Grade
III-B: infected, non-ischemic
ulcer that penetrates to bone
or a deep abscess
Grade
III-C: ischemic, non-infected
ulcer that penetrates to bone
or a deep abscess
Grade
III-D: ischemic and infected
ulcer that penetrates to bone
or a deep abscess
Related Criteria
Criteria for the Diagnosis of Diabetes Mellitus
More...
References:
-
Armstrong DG,
Lavery LA,
Harkless LB.
Validation of a
diabetic wound
classification
system. The
contribution of
depth, infection,
and ischemia to
risk of
amputation.
Diabetes Care.
1998
May;21(5):855-9.
[Medline]
-
Oyibo SO, Jude EB,
Tarawneh I, Nguyen
HC, Harkless LB,
Boulton AJ. A
comparison of two
diabetic foot
ulcer
classification
systems: the
Wagner and the
University of
Texas wound
classification
systems. Diabetes
Care. 2001
Jan;24(1):84-8.
[Medline]
-
Wagner FW:
Supplement:
algorithms of foot
care. In The
Diabetic Foot.
3 rd ed. Levin ME,
O’Neal LW, Eds.
St. Louis, MO, CV.
Mosby, 1983, p.
291–302
-
Lavery LA,
Armstrong DG, Vela
SA, Quebedeaux TL,
Fleischli JG.
Practical criteria
for screening
patients at high
risk for diabetic
foot ulceration.
Arch Intern Med.
1998 Jan
26;158(2):157-62.
[Medline]
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