Diabetic Foot
 

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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.