Home » Orthopaedics » Wagner Grading System for Diabetic Foot Infections Wagner Grading System for Diabetic Foot Infections July 22, 2020 by Data Trace Editor - 0 - Intact Skin - 1 - Superficial ulcer of skin or subcutaneous tissue - 2 - Ulcers extend into tendon, bone, or capsule - 3 - Deep ulcer with osteomyelitis, or abscess - 4 - Gangrene of toes or forefoot - 5 - Midfoot or hindfoot gangrene