W A G N E R (Foot Ankle, 2:64-122, 1981)
Grade 0 – pre-ulcerative lesion, no openings
Grade 1 – superficial ulcer (full thickness and partial thickness ulcer)
Grade 2 – deep ulcer penetrating to tendon, joint capsule, or bone
Grade 3 – infection of bone, joint, or tendon
Grade 4 – local gangrene, of the foot
Grade 5 – wide gangrene,of the limb