Sims et al proposed a foot lesion grading system for a patient with diabetes. This is an expansion of the system reported by Wagner. The authors are from Pennsylvania State University.
Patient selection: diabetic
(1) skin lesion
superficial ulcer (partial thickness)
full thickness but not into tendon, bone, joint or ligament
full thickness into tendon, bone, joint or ligament
localized (abscess, osteomyelitis)
proximal spread (ascending cellulitis, lymphangitis)
majority of foot
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Specialty: Dermatology, Endocrinology, Surgery, general, Surgery, orthopedic