title: Total management of diabetic foot ulcerations--Kobe classification as a new classification of diabetic foot wounds.
abstract: Treatment must be conducted after proper assessment of diabetic foot wounds. This implies appropriate foot care and the use of proper footwear from the perspectives of prophylaxis and walking. Diabetic foot wounds have some wound impairment factors, including peripheral neuropathy (PN), peripheral arterial disease (PAD), and infection; such wounds comprise combinations of these lesions. An additional goal besides wound healing is gait salvage. Here, we propose a simple new four-level classification of diabetic foot ulcerations, which we have termed the Kobe classification, in order to assess the wounds more easily and treat them systematically; the classification is as follows: Type I, mainly PN; Type II, mainly PAD; Type III, mainly infection; Type IV, PN+PAD+infection.
authors: Department of Plastic Surgery, Graduate School of Medicine, Kobe University, Kobe, Japan. terashi@med.kobe-u.ac.jp
authors: Hiroto
authors: H
authors: Terashi
authors: Ikuro
authors: I
authors: Kitano
authors: Yoriko
authors: Y
authors: Tsuji
mesh_terms: D000368:Aged; D003646:Debridement / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D017719:Diabetic Foot / Q000145:classification* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D016523:Foot Ulcer / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007239:Infections / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000473:pathology / Q000601:surgery; D010523:Peripheral Nervous System Diseases / Q000473:pathology / Q000601:surgery; D003668:Pressure Ulcer / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D014656:Vascular Surgical Procedures / Q000379:methods; D014945:Wound Healing