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There is however one major drawback to this system - it does not address two important facets of the disease - infection and ischemia. Alternatively, the second most widely accepted system of classification is the University of Texas diabetic wound classification. This system takes into account the depth of the ulcer, the presence of infection and the presence of ischemia. This system grades ulcers from 0-3 based on these factors. The UT (University of Texas) System combines grade and stage and is therefore more intuitive. Research shows that a good foot ulcer classification system helps in predicting clinical outcome. The higher the grade, the greater the risk and greater the number of amputations performed.


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