Hello.
Julien Vouillarmet I am a diabetologist in Lyon, France.
To complete the presentation on classifications
I'm going to introduce you to some clinical cases
to illustrate the two classifications
which are those of the university Texas and SINBAD.
The first clinical case is this wound in a patient
who has neuropathy that occurs on the hallux of the foot
with a wound which measures 14 by 12 millimeters.
There is no bone contact she has no sign of infection
and both pulses peripherals are well perceived.
What is our classification from the University of Texas
then SINBAD's for this clinical case?
You see here the four vertical internships
and the four ranks of the Texas classification.
This wound it is superficial and non-ischemic
not superinfected, so she's 1A.
Concerning the classification of SINBAD
when you look at the site it's a forefoot wound
so the score is zero.
For ischemia, pulses are perceived
so the score is zero.
there is a neuropathy there's no infection.
The surface area is more than one square centimetre and this wound is superficial.
so she has a SINBAD A2 score.
The second clinical case is this wound that occurs
on the opposite side edge of the head of the fifth metatarsus.
This wound is communicating
she does more of one square centimetre of surface area.
There are stigmas of infection and there's bone contact.
Peripheral pulses are perceived and there's a neuropathy associated with it.
What is your classification from the University of Texas?
There is bone damage so in depth it will be three.
There is an associated infection so this wound is classified as 3B.
For the classification of SINBAD
It's a forefoot wound. peripheral pulses are perceived
there is a neuropathy there is an infection
the surface is also of one square centimetre
and this wound has bone contact
it is considered to be deep
so this wound matches to a score of SINBAD A4.
The last clinical case is a wound
which occurs on the lateral edge of the first ray of the right foot.
Pulse is abolished there is associated neuropathy
bone contact, this wound measures 12 by 11 millimeters of diabetes
and there's no sign of infection.
What is your classification from the University of Texas?
This wound reaches the bone and is ischemic so it's a 3C wound.
For the classification of SINBAD
it's a forefoot wound
there is an absence of pulse there is a neuropathy
there's no infection, it has a surface
which is more than one square centimetre and an extension to the bone
so a deep wound we have a SINBAD A4 score.
Thank you for your attention.