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A New Classification (Grading System) of Debridement in Diabetic Lower Limbs - an Improvization and Standardization in Practice of Diabetic Lower Limb Salvage Around the World

Amit Kumar C Jain.

Abstract
Debridement is one of the most common and also a most underestimated surgical procedure performed by surgeons. For specialist like Podiatric surgeons and qualified wound care nurses, debridement of diabetic foot wounds has been an essential day to day common surgical practice. Inspite of being such a common procedure, there is no classification of debridement when it comes to diabetic limb salvage practice till date. The word debridement is used loosely and equally for all diabetic foot lesions without specification. The author, being one of the few handful specialist podiatric surgeons in India, proposes a new simple classification [grading system] for surgical debridement of diabetic lower limb wounds which could be used in day to day practice and which will help in standardizing the practice of diabetic lower limb salvage in developed, developing and underdeveloped countries and thus can form a language of medical communication in field of diabetic limb salvage. There is currently an urgent need for newer concepts, standardization and recent advances in diabetic foot practice in developing countries where this speciality is neglected. This new grading system is one such novel step by the author towards improvisation of diabetic foot practice.

Key words: Diabetic foot, debridement, Amit Jain’s grading, Type 1 diabetic foot complications



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