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. 2021 Aug 16;4(3):117–129. doi: 10.1016/j.jimed.2021.07.003

Table 2.

Wagner classification of diabetic foot ulcer.

Grading Symptoms
Grade 0 No ulcer
Grade 1 Superficial ulceration, involving the entire thickness of the skin but not the subcutaneous tissue
Grade 2 Deep ulcers penetrating into muscle layers and ligaments without bone involvement and without abscess
Grade 3 Deep ulcers with cellulitis or abscess formation, often accompanied by osteomyelitis
Grade 4 Local small gangrene
Grade 5 Extensive gangrene involving entire foot