Wagner Ulcer Grade Classification:

  • Grade 0: foot at risk, pre-ulcerative lesions, bony deformity and/or previous healed ulcers
  • Grade 1: uninfected superficial ulcer
  • Grade 2: frequently infected deeper ulcer, no osteomyelitis
  • Grade 3: deeper than grade 2, formation of abcess common, osteomyelitis
  • Grade 4: grangrene (localised) may affect the toe, heel or forefoot
  • Grade 5: gangrene of the entire foot.

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