Knighton et al evaluated chronic nonhealing wounds using the Total Wound Score, which consists of 3 parts. The authors are from the University of Minnesota in Minneapolis.
Patient selection: chronic nonhealing wound from mixed etiologies
Parameters for anatomic considerations:
(1) exposed bone
(2) exposed tendon
(3) dorsalis pedis pulse
(4) posterior tibial pulse
dorsalis pedis pulse
3 or 4+
0 or 1+
posterior tibial pulse
3+ or 4+
• The pulses would apply to a wound of the distal lower extremity. A wound elsewhere might need different arteries. Alternatively the current pulses could indicate the state of peripheral artery disease.
total anatomic subscore =
= SUM(points for all 4 parameters)
• minimum subscore: 0
• maximum subscore: 27
• The higher the score the more severe the wound.
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Specialty: Dermatology, Surgery, general