Treatment-based classification system for assessment and care of diabetic feet

DG ArmstrongDepartment of Orthopaedics, University of Texas Health Science Center, San Antonio, USA.

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LA LaveryDepartment of Orthopaedics, University of Texas Health Science Center, San Antonio, USA.

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LB HarklessDepartment of Orthopaedics, University of Texas Health Science Center, San Antonio, USA.

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Appropriate care of feet of patients with diabetes requires a clear, descriptive classification system that may be used to direct appropriate therapy and possibly predict outcome. Ideally, this system would be used by all participants in a multidisciplinary limb-salvage team. The authors report on a logical, treatment-oriented system that may improve communication, leading to a less complex, more predictable treatment course and, ultimately, an improved result.