Lawrence A Lavery

Summary

Affiliation: Scott and White Memorial Hospital
Country: USA

Research Grants

  1. Instant Total Contact Cast to Heal Diabectic Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2007
  2. Therapeutic Stockings to Prevent Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2007
  3. Instant Total Contact Cast to Heal Diabectic Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2008
  4. Therapeutic Stockings to Prevent Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2008

Publications

  1. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists
    Andrew J M Boulton
    Manchester Diabetes Centre, Manchester, UK
    Diabetes Care 31:1679-85
  2. Risk factors for recurrent diabetic foot ulcers: site matters
    Edgar J G Peters
    Department of Infectious Diseases, C5-P, Leiden University Medical Center, P.O. Box 9600, NL-2300RC, Leiden, The Netherlands
    Diabetes Care 30:2077-9
  3. Negative pressure wound therapy via vacuum-assisted closure following partial foot amputation: what is the role of wound chronicity?
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
    Int Wound J 4:79-86
  4. Probe-to-bone test for diagnosing diabetic foot osteomyelitis: reliable or relic?
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, 703 Highland Spring Lane, Georgetown, TX 78628, USA
    Diabetes Care 30:270-4
  5. Validation of the Infectious Diseases Society of America's diabetic foot infection classification system
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, Texas A and M University Health Science Center College of Medicine, Temple, Texas, USA
    Clin Infect Dis 44:562-5
  6. Preventing diabetic foot ulcer recurrence in high-risk patients: use of temperature monitoring as a self-assessment tool
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, Texas A and M University Health Science Center, Temple, Texas, USA
    Diabetes Care 30:14-20
  7. Consensus statement on negative pressure wound therapy (V.A.C. Therapy) for the management of diabetic foot wounds
    George Andros
    Diabetic Foot Center, Providence Saint Joseph Medical Center, Burbank, CA, USA
    Ostomy Wound Manage 0:1-32
  8. Validation of a diabetic foot surgery classification
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
    Int Wound J 3:240-6
  9. ACFAS scoring scale: ready, fire, aim?
    Lawrence A Lavery
    J Foot Ankle Surg 45:284-5; author reply 285-6
  10. A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care
    Lawrence A Lavery
    Texas A and M Health Science Center College of Medicine, Department of Surgery, Scott and White Hospital, Temple, TX 78628, USA
    Int Wound J 4:103-13

Detail Information

Research Grants4

  1. Instant Total Contact Cast to Heal Diabectic Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2007
    ..We believe that healing parameters will be the same in TCC and ITCC groups and both will be significantly better than the RCW group. In addition, we expect the ITCC to be less expensive than TCC...
  2. Therapeutic Stockings to Prevent Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2007
    ..Therapeutic stockings are an inexpensive and practical tool to protect the feet of high risk patients from pressure and shear forces. This simple measure may significantly reduce the risk of foot ulcers in high risk patients...
  3. Instant Total Contact Cast to Heal Diabectic Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2008
    ..In addition, we expect the ITCC to be less expensive than TCC. Public Health Relevance: This Public Health Relevance is not available...
  4. Therapeutic Stockings to Prevent Foot Ulcers
    Lawrence A Lavery; Fiscal Year: 2008
    ..This simple measure may significantly reduce the risk of foot ulcers in high risk patients. Public Health Relevance: This Public Health Relevance is not available...

Publications45

  1. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists
    Andrew J M Boulton
    Manchester Diabetes Centre, Manchester, UK
    Diabetes Care 31:1679-85
  2. Risk factors for recurrent diabetic foot ulcers: site matters
    Edgar J G Peters
    Department of Infectious Diseases, C5-P, Leiden University Medical Center, P.O. Box 9600, NL-2300RC, Leiden, The Netherlands
    Diabetes Care 30:2077-9
  3. Negative pressure wound therapy via vacuum-assisted closure following partial foot amputation: what is the role of wound chronicity?
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
    Int Wound J 4:79-86
    ..These results appear to indicate that wound duration should not deter the clinician from using this modality to treat complex wounds...
  4. Probe-to-bone test for diagnosing diabetic foot osteomyelitis: reliable or relic?
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, 703 Highland Spring Lane, Georgetown, TX 78628, USA
    Diabetes Care 30:270-4
    ....
  5. Validation of the Infectious Diseases Society of America's diabetic foot infection classification system
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, Texas A and M University Health Science Center College of Medicine, Temple, Texas, USA
    Clin Infect Dis 44:562-5
    ..6; P<.001) with increasing infection severity. The Infectious Diseases Society of America's foot infection classification system may be a useful tool for grading foot infections...
  6. Preventing diabetic foot ulcer recurrence in high-risk patients: use of temperature monitoring as a self-assessment tool
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, Texas A and M University Health Science Center, Temple, Texas, USA
    Diabetes Care 30:14-20
    ..CONCLUSIONS: Infrared temperature home monitoring, in serving as an "early warning sign," appears to be a simple and useful adjunct in the prevention of diabetic foot ulcerations...
  7. Consensus statement on negative pressure wound therapy (V.A.C. Therapy) for the management of diabetic foot wounds
    George Andros
    Diabetic Foot Center, Providence Saint Joseph Medical Center, Burbank, CA, USA
    Ostomy Wound Manage 0:1-32
    ..A.C. Therapy? (11) How should success in the use of V.A.C. Therapy be defined? (12) How can one combine effective offloading and V.A.C. Therapy?..
  8. Validation of a diabetic foot surgery classification
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
    Int Wound J 3:240-6
    ..This may assist the surgeon in better identifying risk when determining a rationale for and type of surgery in persons with diabetes...
  9. ACFAS scoring scale: ready, fire, aim?
    Lawrence A Lavery
    J Foot Ankle Surg 45:284-5; author reply 285-6
  10. A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care
    Lawrence A Lavery
    Texas A and M Health Science Center College of Medicine, Department of Surgery, Scott and White Hospital, Temple, TX 78628, USA
    Int Wound J 4:103-13
    ..Thus, NPWT may improve the proportion of DFUs that attain a successful wound treatment endpoint and decrease resource utilisation by a given health care system compared with standard wet-to-moist therapy...
  11. Reevaluating the way we classify the diabetic foot: restructuring the diabetic foot risk classification system of the International Working Group on the Diabetic Foot
    Lawrence A Lavery
    Department of Surgery, Texas A and M Health Science Center, Scott and White Hospital, Temple, Texas, USA
    Diabetes Care 31:154-6
    ..01). CONCLUSIONS: We propose a new risk classification that predicts future foot complications better than that currently used by the IWGDF...
  12. Prediction of healing for postoperative diabetic foot wounds based on early wound area progression
    Lawrence A Lavery
    Department of Surgery, Scott and White Memorial Hospital at Texas A and M University, Georgetown, Texas, USA
    Diabetes Care 31:26-9
    ..This might also assist in identifying a rationale to reevaluate the wound and change wound therapies...
  13. What are the most effective interventions in preventing diabetic foot ulcers?
    Lawrence A Lavery
    Texas A and M Health Science Center, Scott and White Hospital, Temple, TX, USA
    Int Wound J 5:425-33
    ..These results suggest that there is a finite number of key factors that, if identified and addressed with appropriate intervention strategies, may reduce the risk for the cascade of events towards ulceration and subsequent amputation...
  14. Quality of life in healing diabetic wounds: does the end justify the means?
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research CLEAR, Rosalind Franklin University of Medicine, Chicago, IL 60064, USA
    J Foot Ankle Surg 47:278-82
    ..Specifically, the results suggest that in diabetic patients with neuropathic foot ulcers, QoL may have less to do with how an index wound is treated than it does with whether or not the wound heals...
  15. Resource utilization and economic costs of care based on a randomized trial of vacuum-assisted closure therapy in the treatment of diabetic foot wounds
    Jan Apelqvist
    Department of Endocrinology, University Hospital of Malmö, Malmö, Sweden
    Am J Surg 195:782-8
    ..CONCLUSION: Treatment of diabetic patients with post amputation wounds using NPWT resulted in lower resource utilization and a greater proportion of patients obtaining wound healing at a lower overall cost of care when compared to MWT...
  16. Temperature monitoring to assess, predict, and prevent diabetic foot complications
    Lawrence A Lavery
    Department of Surgery, Texas A and M University College of Medicine, Scott and White Hospital, Round Rock, TX 78633, USA
    Curr Diab Rep 7:416-9
    ..There are a number of studies that demonstrate the impact of screening and prevention; three randomized clinical trials report a three- to 10-fold reduction in foot ulcerations among high-risk patients...
  17. Re: "Diagnostic and prognostic value of erythrocyte sedimentation rate in contiguous osteomyelitis of the foot and ankle"
    Naohiro Shibuya
    J Foot Ankle Surg 47:73; author reply 73-4; discussion 74-5
  18. Diagnostic and prognostic value of erythrocyte sedimentation rate in contiguous osteomyelitis of the foot and ankle
    Naohiro Shibuya
    Department of Orthopaedics, Division of Podiatry, University of Texas Health and Science Center at San Antonio
    J Foot Ankle Surg 47:73
  19. Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research CLEAR, Rosalind Franklin University of Medicine and Science, North Chicago, Ill 60064, USA
    Am J Med 120:1042-6
    ..50+/-1.0 vs 0.74+/-0.05, P=.001). CONCLUSIONS: High temperature gradients between feet may predict the onset of neuropathic ulceration and self-monitoring may reduce the risk of ulceration...
  20. Does anodyne light therapy improve peripheral neuropathy in diabetes? A double-blind, sham-controlled, randomized trial to evaluate monochromatic infrared photoenergy
    Lawrence A Lavery
    Department of Surgery, Texas A and M University Health and Science Center College of Medicine, Scott and White Hospital, Temple, Texas, USA
    Diabetes Care 31:316-21
    ..05). CONCLUSIONS: Anodyne MIRE therapy was no more effective than sham therapy in the treatment of sensory neuropathy in individuals with diabetes...
  21. Risk factors for foot infections in individuals with diabetes
    Lawrence A Lavery
    Department of Surgery, Scott and White Hospital, Texas A and M University Health Science Center College of Medicine, Temple, TX, USA
    Diabetes Care 29:1288-93
    ..Efforts to prevent infections should be targeted at people with traumatic foot wounds, especially those that are chronic, deep, recurrent, or associated with peripheral vascular disease...
  22. Clinical efficacy of the first metatarsophalangeal joint arthroplasty as a curative procedure for hallux interphalangeal joint wounds in patients with diabetes
    David G Armstrong
    Department of Surgery, Podiatry Section, Southern Arizona Veterans Affairs Medical Center, Tucson, Arizona, USA
    Diabetes Care 26:3284-7
    ..9) and amputation (standard 10.0 versus surgery 4.8%, P = 0.5). CONCLUSIONS: Results suggest that resectional arthroplasty is a safe and effective procedure to treat wounds of the plantar hallux compared with nonsurgical therapy...
  23. Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen
    David G Armstrong
    Department of Surgery, Southern Arizona Veterans Affairs Medical Center, Tucson, Arizona 85723, USA
    Diabetes Care 26:2595-7
    ..Control of this important aspect of care with less easily removable devices may increase the prevalence of healing...
  24. Predictive value of foot pressure assessment as part of a population-based diabetes disease management program
    Lawrence A Lavery
    Diabetex Research Group, Baltimore, Maryland, USA
    Diabetes Care 26:1069-73
    ..However, the ROC analysis suggests that foot pressure is a poor tool by itself to predict foot ulcers...
  25. 2003 William J. Stickel Silver Award. Skin temperatures as a one-time screening tool do not predict future diabetic foot complications
    David G Armstrong
    Diabetex Research Group, Baltimore, MD, USA
    J Am Podiatr Med Assoc 93:443-7
    ..Regular assessment of skin temperatures, using the contralateral site as a physiologic control, may be a better use of this technology...
  26. Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus
    Lawrence A Lavery
    Diabetex Research Group, Baltimore, Maryland, USA
    J Am Podiatr Med Assoc 92:479-82
    ..Having a high index of suspicion for this deformity and subsequently addressing it through conservative or surgical means may help to reduce the risk of foot ulceration and amputation...
  27. Reproducibility of gait analysis variables: one-step versus three-step method of data acquisition
    Edgar J G Peters
    Department of Orthopaedics, University of Texas Health Science Center, San Antonio, TX, USA
    J Foot Ankle Surg 41:206-12
    ..For measuring total contact time and pressure-time integrals, both methods have comparable repeatability, although the protocols lead to different outcomes...
  28. Diabetic foot syndrome: evaluating the prevalence and incidence of foot pathology in Mexican Americans and non-Hispanic whites from a diabetes disease management cohort
    Lawrence A Lavery
    Department of Surgery, Diabetex Research Group, Baltimore, Maryland, USA
    Diabetes Care 26:1435-8
    ..There may be factors associated with failed or failure to bypass that mandate further investigation...
  29. Options for off-loading the diabetic foot
    Lawrence A Lavery
    Department of Podiatry, Texas A and M Health Science Center, Scott and White Hospital, Temple, TX, USA
    Adv Skin Wound Care 17:181-82, 184-86
  30. Home monitoring of foot skin temperatures to prevent ulceration
    Lawrence A Lavery
    College of Medicine, Texas A and M Health Science Center, Scott and White Hospital, Temple, Texas, USA
    Diabetes Care 27:2642-7
    ....
  31. Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial
    David G Armstrong
    Center for Lower Extremity Ambulatory Research, Dr William M Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, USA
    Diabetes Care 28:551-4
    ..58.0 +/- 15.2 days, P = 0.02). CONCLUSIONS: Modification of a standard RCW to increase patient adherence to pressure off-loading may increase both the proportion of ulcers that heal and the rate of healing of diabetic neuropathic wounds...
  32. Diabetic lower extremity infection: influence of physical, psychological, and social factors
    Edgar J G Peters
    Department of Internal Medicine, Haga Hospital, Leyenburg, The Hague, The Netherlands
    J Diabetes Complications 19:107-12
    ..CONCLUSIONS: These data suggest that physical risk factors are important in foot infection and that the additional risk of socioeconomic status or knowledge of foot care is limited in this population...
  33. Wear and biomechanical characteristics of a novel shear-reducing insole with implications for high-risk persons with diabetes
    Lawrence A Lavery
    Texas A and M Health Science Center College of Medicine, Department of Surgery, Scott and White Hospital, Temple, TX 76508, USA
    Diabetes Technol Ther 7:638-46
    ..05). CONCLUSIONS: The GlideSoft design demonstrated a significant reduction in shear while maintaining equivalent pressure reduction compared with standard insole designs with three different material combinations for up to 320,000 steps...
  34. Disease management for the diabetic foot: effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations
    Lawrence A Lavery
    XLHealth Corporation, Baltimore, MD, USA 703 Highland Spring Lane, Georgetown, TX, USA
    Diabetes Res Clin Pract 70:31-7
    ..2% reduction in the average SNF LOS from 8.72 to 6.52 days (p<0.05). CONCLUSION: A population-based screening and treatment program for the diabetic foot can dramatically reduce hospitalizations and clinical outcomes...
  35. Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial
    David G Armstrong
    Scholl s Center for Lower Extremity Ambulatory Research CLEAR, Rosalind Franklin University of Medicine and Science, Chicago, IL 60064, USA
    Lancet 366:1704-10
    ....
  36. How and why to surgically debride neuropathic diabetic foot wounds
    David G Armstrong
    Research and Education, Department of Surgery, Podiatry Section, Southern Arizona Veterans Affairs Medical Center, Tucson 85723, USA
    J Am Podiatr Med Assoc 92:402-4
    ..The authors hope to foster further discussion leading to improvement in the process and the prevalence of such debridement...
  37. The right to bear legs--an amendment to healthcare: how preventing amputations can save billions for the US Health-care System
    Lee C Rogers
    J Am Podiatr Med Assoc 98:166-8
  38. Use of subatmospheric (VAC) therapy to improve bioengineered tissue grafting in diabetic foot wounds
    Eric H Espensen
    Diabetic Foot Center, Providence St Joseph Medical Center, Burbank, CA, USA
    J Am Podiatr Med Assoc 92:395-7
    ..Future descriptive and analytic works may test the hypothesis that combined therapies used at different and often overlapping periods during the wound-healing cycle may be more effective than a single modality...
  39. 5 questions--and answers--about off-loading
    Lawrence A Lavery
    Adv Skin Wound Care 16:231-4
  40. Outcomes of subatmospheric pressure dressing therapy on wounds of the diabetic foot
    David G Armstrong
    Department of Surgery, Southern Arizona Veterans Affairs Medical Center, Tucson, Ariz, USA
    Ostomy Wound Manage 48:64-8
    ....
  41. Variability in activity may precede diabetic foot ulceration
    David G Armstrong
    Dr William M Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, Chicago, Illinois 60064, USA
    Diabetes Care 27:1980-4
    ..Perhaps modulating the "peaks and valleys" of activity in this population through some form of feedback might prove to reduce risk for ulceration in this very-high-risk population...
  42. It's not what you put on, but what you take off: techniques for debriding and off-loading the diabetic foot wound
    David G Armstrong
    Department of Surgery, Dr William M Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
    Clin Infect Dis 39:S92-9
    ..Specific debridement and off-loading techniques are discussed, along with available supporting evidence. This includes the use of the "instant" total contact cast, among other modalities...
  43. Guidelines regarding negative wound therapy (NPWT) in the diabetic foot
    David G Armstrong
    Department of Surgery, Southern Arizona Veterans Affairs Medical Center, Tucson, USA
    Ostomy Wound Manage 50:3S-27S
    ..NPWT be discontinued in this population? 8) How should NPWT be used in combination with other modalities? 9) Should small, superficial, noninfected wounds be considered for NPWT? 10) How should we define success in future studies of NPWT?..
  44. Diabetic foot disorders. A clinical practice guideline (2006 revision)
    Robert G Frykberg
    Podiatric Surgery, Carl T Hayden VA Medical Center, Phoenix, Arizona 85012, USA
    J Foot Ankle Surg 45:S1-66
    ..If these concepts are embraced and incorporated into patient management protocols, a major reduction in diabetic limb amputations is certainly an attainable goal...
  45. A retrospective study of patients with diabetes mellitus after partial foot amputation and hyperbaric oxygen treatment
    David G Armstrong
    J Foot Ankle Surg 45:58-9; author reply 59-60