Amit Kumar C JAİN

A Simple New Classification for Diabetic Foot Ulcers

Gangrene, infections like abscesses and ulcers are some of the common diabetic foot complications. Of all these, diabetic foot ulcers pose a major public health problem. Around 80% of all the lower limb amputations are preceded by a foot ulcer. There are various classifications for diabetic foot ulcers out of which the two commonly used classifications are Wagner's ulcer classification and the classification of University of Texas. The author proposes another simple new classification specific for diabetic foot ulcer which is one of the common diabetic foot complications. This classification is an addition to the author's already existing new classifications on various aspects of diabetic foot so that a new Amit Jain's principle and practice of diabetic foot could be devised for improvising and standardizing the practice of diabetic foot. According to this new classification, diabetic foot can be clinically classified into 3 simple classes.

PDF

___

1. McInnes AD. Diabetic foot disease in the United Kingdom: about time to put feet first. J Foot Ankle Res. 2012;5(1):26.

2. Lazzarini PA, Gurr JM, Rogers JR, Schox A, Bergin SM. Diabetic foot disease: the Cinderella of Australian diabetes management. J Foot Ankle Res. 2012;5(1):24.

3. Aalaa M, Malazy OT, Sanjari M, Peimani M, Tehrani MRM. Nurses role in diabetic foot prevention and care: a review. J Diabetes Metab Disord. 2012;11(1):24.

4. Singh S, Pai DR, Yuhhui C. Diabetic foot ulcer-diagnosis and management. Clin Res Foot Ankle. 2013;1(3):120.

5. Clayton W, Elasy TA. A review of the pathophysiology, classification and treatment of foot ulcers in Diabetic patients. Clinical Diabetes. 2009;27(2):52-8.

6. Parisi MCR, Wittmann DEZ, Pavin Ej, Machado H, Nery M, Jeffcoate WJ. Comparison of three systems of classification in predicting the outcome of diabetic foot ulcers in a Brazilian Population. Eur J Endocrinol. 2008;159(4):417-22.

7. Oyibo SO, Jude EB, Tarawneh I, Nguyen HC, Harless Cb, Boulton AJM. A comparison of two diabetic foot ulcer classification systems: the Wagner and the University of Texas wound classification systems. Diabetes Care. 2001;24(1):84-8.

8. Jain AKC. A new classification of diabetic foot complications: a simple and effective teaching tool. J Diab Foot Comp. 2012;4(1):1-5.

9. Jain AKC, Joshi S. Diabetic foot classifications: Review of literature. Med-Science. 2013;2(3):715-21.

10. Jain AKC. A new classification of diabetic foot osteomyelitis. OA Case Reports. 2013;2(3):121.

11. Jain AKC. The new scoring system for predicting the risk of major amputations in patient with diabetic foot complication. Med-Science. 2014;3(1):1068-78.

12. Jain AKC. A new classification (Grading System) of debridement in diabetic lower limb. An improvisation and standardization in practice of diabetic lower limb salvage around the world. Med-Science. 2014;3(1):991-1001.

13. Marias LC, Ferreira N, Aldous C, Roux TBL. The classification of chronic osteomyelitis. SA Orthop J. 2014;13(1):22-8.

14. Terashi H, Kitano I, Tsuji Y. Total management of diabetic foot ulceration-Kobe classification as a new classification of diabetic foot wounds. Keio J Med. 2011;60(1):17-21.

15. Beckert S, Witte M, Wicke C, Konigsrainer A, Coerper S. A new wound based severity score for diabetic foot ulcers. Diabetes Care. 2006;29(5):988-92.

16. Satterfield K. A guide to understanding the various wound classification system. Podiatry Today. 2006;19(6):1-5.

17. 17. Chalya PL, Mabula JB, Dass RM, Kabangila R, Jaka H, McHembe MD, Kataraihya JB, Mbelenge N, Gilyoma JM. Surgical management of diabetic foot ulcers: A Tanzanian University teaching hospital experience. BMC Res Notes. 2011;4:365.

18. Boulton AJM, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers. N Engl J Med. 2004;351(1):48-55.

19. Deribe B, Woldemichael K, Nemera G. Prevalence and factors influencing diabetic foot ulcer among diabetic patients attending Arbaminch Hospital, South Ethiopia. J Diabetes Metab. 2014;5(1):1-7.

20. International Best Practice Guidelines: Wound management in diabetic foot ulcers. Wounds International 2013. www.woundsinternational.com access date:25.06.2014

21. Hobizal KB, Wukich DK. Diabetic foot infections: Current Concept and review. Diabet Foot Ankle. 2012;3.

22. Golinko MS, Joffe R, Maggi J, Cox D, Chandrasekaran EB, Tomic-Canic RM, Brem H. Operative debridement of diabetic foot ulcers. J Am Coll Surg. 2008;207(6):e1-6.

23. Jain AKC, Varma AK, Mangalanandan, Kumar H. Major amputation in Diabetes. An experience from diabetic limb salvage centre in India. J Diab Foot Comp. 2012;4(3):63-66.

24. Kalaivani V, Vijayakumar HM. Diabetic foot in India- Reviewing the epidemiology and the Amit Jain's classifications. Sch Acad J Bio Sci. 2013;1(6):305-8.

25. Jain AKC, Viswanath S. An analysis of osteomyelitis in diabetic foot using Amit Jain's classification of diabetic foot osteomyelitis. SEAJCRR. 2014;3(4):794-801.