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. 2022 Jan 22;14(1):e21501.
doi: 10.7759/cureus.21501. eCollection 2022 Jan.

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

Priti Shah  1 , Ramteja Inturi  1 , Dinesh Anne  1 , Digvijay Jadhav  1 , Varsha Viswambharan  1 , Reina Khadilkar  1 , Anuradha Dnyanmote  1 , Shivangi Shahi  1
Affiliations

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

Priti Shah et al. Cureus. .

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.

Keywords: amputations; diabetes; diabetic foot; neuropathy; peripheral vascular disease; ulcer.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Bar diagram showing the age and gender-wise distribution of the study group
Figure 2
Figure 2. Bar diagram showing clinical presentation among the study sample
Figure 3
Figure 3. Bar diagram showing complications due to diabetes among the study sample
Figure 4
Figure 4. Pie chart showing neuropathy according to nerve conduction studies
Figure 5
Figure 5. Bar diagram showing peripheral arterial involvement
Figure 6
Figure 6. Pie chart showing grading according to Wagner’s classification
Figure 7
Figure 7. Graphs and table showing the correlation between Wagner's grading and age, duration of diabetes, and HbA1c levels
Figure 8
Figure 8. Pie chart showing different pathogens isolated from the wound
Figure 9
Figure 9. Amputations performed
See this image and copyright information in PMC

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