|
 Meggitt
Wagnar Classification
 Grade 0:
High risk foot (Neuropathy & Ischemia), No ulcer
Grade 1:
Superficial Ulcer, No infection
Grade 2:
Deep Ulcer, Cellulitis
Grade 3:
Deep Ulcer, Bone Involvement or Abcess Formation
Grade 4:
Localised Gangrene (Toe forfeit or heel)
Grade 5:
Gangrene of the whole foot
Stages of
the Ulcer & what happens next (prognosis)
Stage A: No
infection – No Ischemia
Stage B:
Infection Present
Stage C:
Ischemia Present
Stage D:
Ischemia & Infection Present
Infection may begin superficially in an ulcer or crack in the skin but
depending on the organism involved, it can spread in deep tissues of the
foot including tenders & bones.
Organism
Involved:
Superficial
infection: staphylococcus / streptococcus aureus
Deep
infection: Anerobe, Aerobe
These
infections can be limb threatening or non threatening
Symptoms in
limb threatening infection:
Fever,
weakness,
Raised WBC,
Blood Sugar & ESR
Cellulites up
to ankle & above
Gangrene
|
Diabetic Foot
This may not be
far off,
'if ignored' |
