Objective: This research aims to analyze the relationship between diabetic foot ulcers profile and ankle brachial index (ABI) score. Profiles of diabetic foot ulcers, which include granulation, necrosis, fibrin and wound area, were measured based on an analysis of wound images.

Method: This quantitative research employed descriptive design with cross sectional method. Seventy six patients with diabetic foot ulcers were recruited purposively. The data collection includes patient characteristics data; measurement of ABI score with a foot doppler device; measurements of granulation, necrosis, fibrin and wound area with the application of MowA. Research data were analyzed using Pearson and Spearman correlation tests.

Results: Correlation test results show that ABI scores were significantly associated with granulation (p: 0.015; r: 0.278), necrosis (p: 0.000; r: -0.516), fibrin (p: 0.036; r: 0.240) and the extent of diabetic foot ulcers (p: 0.025; r: 0.258).

Conclusion: Necrosis has a strong relationship with ABI scores among all profiles of diabetic foot ulcers. Negative direction means that increasing ABI scores will reduce necrosis tissue in diabetic foot ulcers. Further research related to ABI as a predictor of the severity of damage to skin and tissue integrity in diabetic foot ulcers needs to be done.

Keywords: granulation, necrosis, fibrin, wound area, ABI score, diabetic foot ulcers