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Wagner Grading System for Vascular Wounds on
Extremities
Grade |
Characteristics |
0 |
Pre-ulcerative lesion
Healed ulcers
Presence of bony deformity |
1 |
Superficial ulcer without subcutaneous tissue
involvement |
2 |
Penetration through the subcutaneous tissue: may
expose bone, tendon, ligament, joint capsule |
3 |
Osteitis, abscess, or osteomyelitis |
4 |
Gangrene of digit |
5 |
Gangrene of foot requiring disarticulation |
The diabetic foot with Wagner grades 3, 4,
and 5 wounds which have not responded to at least 30 days of conservative
therapy may be considered for hyperbaric oxygen therapy.
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