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Featured
Lecture
Classification of Lower Extremity Wounds
Lawrence A. Lavery DPM., MPH
Associate Professor of Surgery
Texas A & M Health Science Center Medical School
Scott and White Hospital
Temple, Texas
The Great State of Texas has produced some great
people. Presidents Lyndon Johnson, Dwight Eisenhower, George Sr. and George Jr.
(apologies to Kerry supporters and Michael Moore enthusiasts).
- Lance Armstrong
- Gene Autry
- Ernie Banks
- Dwight Eisenhower
- Larry Hagman
- Woody Harrelson
- Renee Zelwegger
- Janis Joplin
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- Tommy Lee Jones
- Steve Martin
- Meatloaf
- Roy Orbison
- Ross Perot
- Dan Rather
- Selena
- Stevie Ray Vaughn
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When most
people think of Texas...Great Barbeque, Hot Chili, and a good Texas Rodeo come
to mind.
When podiatrists think of Texas, the
University of Texas Health Science Center in San Antonio comes to mind as the
Mecca for Wound Care and Limb Salvage. Dr. Lawrence Lavery should be listed with
the other Great Texans for his incredible work in this arena. PRESENT Courseware
is very proud to have him included in our list of esteemed authors.
Dr. Lavery’s presentation addresses an overview
of the incidence and etiology of foot ulcers in diabetes and discusses several
current classification systems that are used to describe lower extremity wounds.
Shea’s classification system for decubitus ulcers
is reviewed, as well as the four tiered system endorsed by the National Pressure
Ulcer Advisory Panel.
Meggitt-Wagner's six level classification system
is discussed. Most residents and wound care experts are most familiar with this
system. It is used as a method of communicating the risk or severity of the
wound to other caregivers.
Dr. Lavery also developed his own classification
system at the University of Texas Health Science Center in San Antonio. He
published this classification system with Dr. David Armstrong (another Great
Texan) in the Journal of Foot and Ankle Surgery, 1996 and in the Diabetes Care
Journal, 1998. In addition to grading by depth, Dr. Lavery also stages wounds
according to key risk factors. Theoretically, we would expect that there should
be increasing risk and perhaps increasing level of amputation as the grade and
stages of the wound increase.
Dr. Lavery’s new classification system not only
helps standardize communication of wound stages, but can also be utilized as a
more accurate predictor of wound outcomes.
Have a wonderful 4th of July !
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