Table 1-1 SVS WIfI classification: original 6) Table 1-1-1 Wound.
Grade | Ulcer | Gangrene |
---|---|---|
0 | No ulcer | No gangrene |
Clinical description: ischemic rest pain (requires typical symptoms+ischemia grade 3); no wound. | ||
1 | Small, shallow ulcer(s) on distal leg or foot; no exposed bone, unless limited to distal phalanx | No gangrene |
Clinical description: minor tissue loss. Salvageable with simple digital amputation (1 or 2 digits) or skin coverage. | ||
2 | Deeper ulcer with exposed bone, joint or tendon; generally not involving the heel; | Gangrenous changes limited to digits |
shallow heel ulcer, without calcaneal involvement | ||
Clinical description: major tissue loss salvageable with multiple (≧3) digital amputations or standard TMA±skin coverage. | ||
3 | Extensive, deep ulcer involving forefoot and/or midfoot; deep, full thickness heel ulcer±calcaneal involvement | Extensive gangrene involving forefoot and/or midfoot; full thickness heel necrosis±calcaneal involvement |
Clinical description: extensive tissue loss salvageable only with a complex foot reconstruction or nontraditional TMA (Chopart or Lisfranc); | ||
flap coverage or complex wound management needed for large soft tissue defect |
TMA: Transmetatarsal amputation