Careful classification of each diabetic foot ulcer you treat is needed to understand outcomes of treatment.
Dr. Game presents an overview of the various systems that are available. She rightfully criticises the number of systems, and the lack of validation of many of them. Depending on your purpose (research, clinical description or auditing), she suggests an algorithm for choosing a system.
There is no internationally agreed simple system yet, perhaps a good challenge to solve before the next International Symposium? But as Dr. Game suggested in The Hague in 2015: ‘before we develop any more classifications systems, please let’s validate the existing systems we have in different settings first’.