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Wagner's Classification as a Tool for Treating Diabetic Foot Ulcers: Our Observations at a Suburban Teaching Hospital

Priti Shah, Ramteja Inturi, Dinesh Anne, Digvijay Jadhav, Varsha Viswambharan, Reina Khadilkar, Anuradha Dnyanmote, Shivangi Shahi

2022Cureus90 citationsDOIOpen Access PDF

Abstract

Objectives The study aims to scale patients with diabetic foot ulcers according to Wagner's classification, measure the various risk factors, study various outcomes and improve the treatment measures. Methodology The article presents materials on a prospective observational study of 50 diabetic foot patients with different presentations who underwent stage-specific intervention. Results Poor glycemic control, lifestyle factors, and smoking showed increased risks for foot ulcer complications. Diabetic neuropathy and vasculopathy have been significant outcome predictors. As a result, advanced Wagner's grades showed increased amputation risks and multimodal management. Conclusions Stratification of diabetic foot patients and appropriate management based on their Wagner's grade helps reduce amputation rates and mortality. In addition, multimodal management and exceptional attention to diabetes and lifestyle control improve long-term outcomes.

Topics & Concepts

MedicineDiabetic footAmputationObservational studyGlycemicDiabetes mellitusPhysical therapyFoot (prosody)Risk stratificationProspective cohort studyIntensive care medicineSurgeryInternal medicinePhilosophyEndocrinologyLinguisticsDiabetic Foot Ulcer Assessment and ManagementWound Healing and TreatmentsPressure Ulcer Prevention and Management
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