Limb/Wound Staging

American Limb Preservation Society
Introduction

Appropriate staging of a wound and/or limb is key to facilitating an optimal, timely treatment plan in high-risk patients. Accordingly, we have noted a few published resources providing guidelines for the assessment and management of diabetic foot ulcerations (DFUs) and chronic limb-threating ischemia (CLTI). This brief compendium also includes recent reports validating the use of the Global Limb Anatomic Staging System (GLASS) as well as the Wound, Ischemia, and foot Infection (WIfI classification system).

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Validation of the Global Limb Anatomic Staging System in first-time lower extremity revascularization.

Liang P, Marcaccio CL, Darling JD, et al.J Vasc Surg. 2021;73(5):1683-1691.e1.
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Guidelines on the classification of diabetic foot ulcers (IWGDF 2019).

Montiero-Soares M, Russell D, Boyko EJ, et al.Diabetes Metab Res Rev. 2020;36 Suppl 1:e3273.
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Global vascular guidelines on the management of chronic limb-threatening ischemia.

Conte MS, Bradbury AW, Kolh P, et al.J Vasc Surg. 2019;69(6S):3S-125S.e40.
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The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system correlates with cost of care for diabetic foot ulcers treated in a multidisciplinary setting.

Hicks CW, Canner JK, Karagozlu H, et al.J Vasc Surg. 2018;67(5):1455-1462.
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Comparison of five systems of classification of diabetic foot ulcers and predictive factors for amputation.

Jeon BJ, Choi HJ, Kang JS, Tak MS, Park ES.Int Wound J. 2017;14(3):537-545.
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The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI).

Mills JL, Conte MS, Armstrong DG.J Vasc Surg. 2014;59(1):220-34.e1-2.
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