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TARO 14 (2009) - pé


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No pé diabético, segundo a classificação de WAGNER, a osteomielite está presente a partir do grau:

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TARO 14 (2009) - pé
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PostPosted: 25/8/2011, 18:51 Rate Post

Explicação: The Wagner classification of diabetic (and dysvascular and insensitive) ulcers is as follows:
Grade 0—skin intact, but bony deformities produce a “foot at risk” (Fig. 82-8)
Grade 1—localized, superficial ulcer (Fig. 82-9)
Grade 2—deep ulcer to tendon, bone, ligament, or joint (Fig. 82-10)
Grade 3—deep abscess, osteomyelitis (Fig. 82-11)
Grade 4—gangrene of toes or forefoot (Fig. 82-12)
Grade 5—gangrene of entire foot
The purpose of this classification is to clarify the prognosis and the subsequent treatment plan. The overlapping degrees of underlying pathological conditions (ischemia, neuropathy, infection) preclude treatment standardization, however. In caring for an ulcerated diabetic foot, determining if the ulcer is primarily neurotrophic or ischemic, if the ulcer is localized or heralds a deep abscess with multiple tissue plane involvement, and if osteomyelitis or pyarthrosis is absent or present would allow a reasonable treatment plan to unfold.Fonte: Campbell’s Operative Orthopaedics. 11th Edition.

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