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Wagner Grading System for Vascular Wounds on
Extremities
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Grade |
Characteristics |
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0 |
Pre-ulcerative lesion
Healed ulcers
Presence of bony deformity |
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1 |
Superficial ulcer without subcutaneous tissue
involvement |
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2 |
Penetration through the subcutaneous tissue: may
expose bone, tendon, ligament, joint capsule |
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3 |
Osteitis, abscess, or osteomyelitis |
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4 |
Gangrene of digit |
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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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