Wagner Versus The University Of Texas Classification Of Diabetic Foot Ulcers: A Descriptive Study In Nishter Hospital Multan


  • Muhammad Sabir Senior Registrar Surgery Nishtar Hospital Multan
  • Razia Kanwal CIMS Multan
  • Muhammad Naveed Shahzad Senior Registrar Plastic Surgery Nishtar Hospital Multan.
  • Muhammad Masood Ur Rauf Khan Professor of Surgery Nishtar Hospital Multan




Wagner Classification, Wagner Classification, University Of Texas Classification, Diabetic Foot Ulcers


Objective: The aim of this study was to compare two widely used classification systems “Wagner and university of Texas Classification†in description of diabetic ulcer.
Study design: Descriptive study
Place and duration of study: The study was conducted in surgical department of Nishtar Medical University and Hospital, Multan from January 2015 to January 2017
Material and Methods: All the patients with new foot ulcer because of diabetes either single or multiple on same foot or on both feet coming in OPD of Nishtar Medical University and Hospital were enrolled in this Descriptive study. Demographic data such as gender, age, diabetes duration, smoking, socioeconomic status, education level, hypertension and history of cardiovascular and cerebrovascular disease, and other chronic complications of diabetes were also recorded. Along with wound measurement grading was done using Wagner and university of Texas classification. Statistical analysis was performed by using SPSS version 21. To describe the data frequency tables, graphs and descriptive statistics like mean and standard deviation is used. For the purpose of analysis t test is used at 5% level of significance.
Results: One hundred individuals with diabetic foot ulcers were studied in 24-month period. Demographic and clinical data depicts presence of neuropathy in 67 patients (67%). Ischemic limb was diagnosed in 26 patients (26%). 34 patients got amputation (34%) while in 17 patients healing was problematic. There were no major amputations. None were lost to follow-up and none died. A significant number of our patients were lower socioeconomic status and was having no education. When results of both the classification were compared by using student t test (p value indicate no statistical significance >0.05)
Conclusion: This study confirmed that both classification systems are equally good in description of diabetic foot ulcer.






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