Diabetic Foot: Classification

Classification according to Wagner

Wagner stage Description
0 No lesion (injury) possibly foot deformity or cellulitis (acute skin infection caused by bacteria)
1 Superficial ulceration (ulcerations)
2 Deep ulcer, extending to joint capsule, tendons, or bone
3 Deep ulcer, with abscess, osteomyelitis (bone marrow inflammation), or infection
4 Limited necrosis (tissue damage due to death of cells) in the forefoot/heel area
5 Necrosis of the entire foot

Classification according to Wagner and Armstrong

Armstrong-Wagner stage A B C D
0 Pre/postulcerative foot With infection With ischemia (reduced blood flow) With infection and ischemia
1 Superficial wound
2 Wound down to tendon/capsule
3 Wound down to bone/joints
4 Necrosis of foot parts
5 Necrosis of the entire foot