Classification of Diabetic Foot Ulcers: Improving Communication

The complications of foot ulcerations are the leading cause of hospitalization and amputation among diabetic patients. Yet despite the high associated morbidity and mortality, there is no universally accepted classification system for diabetic foot ulcers. Although a handful of classification systems have been developed, they are used infrequently, even by wound specialists. Only by improving communication between care providers will the healthcare strategies we use be improved, because management of the diabetic foot involves a multidisciplinary approach. This review is meant to provide an overview of four existing classification systems and offer a new system of classification that is simple to conduct, easy to remember, and serves as a guide for treatment. It is our hope that this effort will encourage discussion and debate in the process.