Wagner Ulcer Classification

Aka: Wagner Ulcer Classification, Megitt-Wagner System of Diabetic Foot Ulcer Grading

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II. Background

  1. Most commonly used classification system for Foot Ulcer
  2. Does not distinguish lesions with ischemia or infection
    1. See University of Texas Diabetic Wound Classification

III. Indications

  1. Diabetic Foot Ulcer

IV. Wagner Grading System

  1. Grade 1: Superficial Diabetic Ulcer
  2. Grade 2: Ulcer extension
    1. Involves ligament, tendon, joint capsule or fascia
    2. No abscess or Osteomyelitis
  3. Grade 3: Deep ulcer with abscess or Osteomyelitis
  4. Grade 4: Gangrene to portion of forefoot
  5. Grade 5: Extensive gangrene of foot

V. References

  1. Wagner (1987) Orthopedics 10:163-72 [PubMed]

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