{"id":68,"date":"2009-02-27T00:24:26","date_gmt":"2009-02-27T00:24:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/dbtfoot\/"},"modified":"2025-05-14T20:59:28","modified_gmt":"2025-05-14T20:59:28","slug":"dbtfoot","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/dbtfoot\/","title":{"rendered":"Wagner and the University of Texas Wound Classification Systems of Diabetic Foot Ulcers"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The well-established widely used Wagner wound classification system and the new University of Texas (UT) diabetic wound classification system both provide descriptions of ulcers to varying degrees. Both wound classification systems are easy to use among health care providers, and both can provide a guide to planning treatment strategies.<!--more--><\/p>\n<p class=\"MsoNormal\"><strong>Wagner Classification of Diabetic Foot Ulcers<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 0: No ulcer in a high risk foot.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 1: Superficial ulcer involving the full skin thickness but not underlying tissues.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 2: Deep ulcer, penetrating down to ligaments and muscle, but no bone involvement or abscess formation.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 3: Deep ulcer with cellulitis or abscess formation, often with osteomyelitis.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 4: Localized gangrene.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade 5: Extensive gangrene involving the whole foot.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>University of Texas Wound Classification System of Diabetic Foot Ulcers<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade I-A: non-infected, non-ischemic superficial ulceration<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade I-B: infected, non-ischemic superficial ulceration<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade I-C: ischemic, non-infected superficial ulceration<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade I-D: ischemic and infected superficial ulceration<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade II-A: non-infected, non-ischemic ulcer that penetrates to capsule or bone<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade II-B: infected, non-ischemic ulcer that penetrates to capsule or bone<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade II-C: ischemic, non-infected ulcer that penetrates to capsule or bone<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade II-D: ischemic and infected ulcer that penetrates to capsule or bone<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade III-A: non-infected, non-ischemic ulcer that penetrates to bone or a deep abscess<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade III-B: infected, non-ischemic ulcer that penetrates to bone or a deep abscess<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade III-C: ischemic, non-infected ulcer that penetrates to bone or a deep abscess<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Grade III-D: ischemic and infected ulcer that penetrates to bone or a deep abscess<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References: <\/strong><\/p>\n<ol>\n<li>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.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9589255\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>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.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11194247\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Wagner FW: Supplement: algorithms of foot care. In\u00a0The Diabetic Foot.\u00a03 rd ed. Levin ME, O\u2019Neal LW, Eds. St. Louis, MO, CV. Mosby, 1983, p. 291\u2013302<\/li>\n<li>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.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9448554\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Apr 13, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[626],"tags":[166,167,211,1120,1793,1792,1791,494,798,1790,1663,1789,1788,1787,1786,1785,1794],"class_list":["post-68","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-clasificacion","tag-classification","tag-diabetes","tag-diabetic","tag-diabetico","tag-foot","tag-pie","tag-sistema","tag-systems","tag-texas","tag-traumatology","tag-ulceras","tag-ulcers","tag-universidad","tag-university","tag-wagner","tag-wound"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/68","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=68"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/68\/revisions"}],"predecessor-version":[{"id":8958,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/68\/revisions\/8958"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=68"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=68"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}