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A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages

We can’t say enough about the great and good works of our SALSAmigo, Neil Barshes, the pride of Houston. On his github page, he has published what amounts to a soup-to-nuts owners manual for patients and their clinicians interested in limb preservation. Here it is, reprinted: As an academic vascular surgeon, I work to develop […]

Read More A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages
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SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation

We’ve had many people ask for our generalized flowchart for care. Here it is. As always, these are living documents that change over time. Feel free to improve and pay it forward! Assessment of the Diabetic Foot: Wound, Ischemia and Foot Infection (WIFI) Patient with Diabetic Foot Ulcer (A) Of the 435 million people with […]

Read More SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation
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How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

Here is the link for the global vascular guidelines. And listed below is section 12 by Rogers and Armstrong detailing methods of developing and certifying a limb preservation unit. We like to think of this as trauma centers for atraumatic wounds/ischemia/infection as described here. Additional information on German and Belgian efforts at limb preservation center […]

Read More How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

Lower extremity reamputation in people with diabetes: a systematic review and meta-analysis @ALPSlimb #ActAgainstAmputation @USC_vascular @apma @keckmedusc @DiabetesRC

Lower extremity reamputation in people with diabetes: a systematic reviewand meta-analysis This from Liu and our group evaluating the best available evidence on reamputation. The bottom line: 1 year reamputation: 19%, 5 year reamputation 37.1%, 5 year contralateral reamputation: 20.5%. No trend for improvement or worsening over the past 2 decades. Lower extremity reamputation in […]

Read More Lower extremity reamputation in people with diabetes: a systematic review and meta-analysis @ALPSlimb #ActAgainstAmputation @USC_vascular @apma @keckmedusc @DiabetesRC

The Problem: Complications of Diabetes- Podcast Episode Featuring @KeckMedUSC @USC Surgeon David G. Armstrong and @DeptVetAffairs Jeff Robbins

People living with diabetes face serious complications if their disease goes unchecked. Learn how experts are changing limb care and amputation in America. Featuring: David Armstrong; Tamara Hannon.; Jeffrey Robbins.

Read More The Problem: Complications of Diabetes- Podcast Episode Featuring @KeckMedUSC @USC Surgeon David G. Armstrong and @DeptVetAffairs Jeff Robbins

@USC @KeckMedUSC Armstrong Featured Prominently as Key Figure in Transformational Leadership Book

via Lee C. Rogers Keck Medicine of USC’s Dr. David Armstrong is a key figure in the motivational leadership book “Refounder: How Transformational Leaders Take What’s Broken and Make it Better,” by Patrick Colletti. The book uses inspirational stories of leaders and visionionaries, including Armstrong’s passion for preventing amputations in diabetes and how he built an international reputation and left behind a […]

Read More @USC @KeckMedUSC Armstrong Featured Prominently as Key Figure in Transformational Leadership Book

Cutaneous Innervation in Impaired Diabetic Wound Healing

From Nowak and coworkers at Northwestern. Type 2 diabetes (T2D) is associated with several potential comorbidities, among them impaired wound healing, chronic ulcerations, and the requirement for lower extremity amputation. Disease-associated abnormal cellular responses, infection, immunological and microvascular dysfunction, and peripheral neuropathy are implicated in the pathogenesis of the wound healing impairment and the diabetic […]

Read More Cutaneous Innervation in Impaired Diabetic Wound Healing

@USC Armstrong Keynotes Mississippi Podiatric Surgical Symposium Focusing on Health Disparities and an “Amputation Tsunami”

David G. Armstrong Professor of Surgery and Director of the Limb Preservation Program at the Keck School of Medicine of University of Southern California, served as a keynote as well as moderator at a symposium focused on addressing and eliminating disparities in the US South and beyond. The symposium, held in Biloxi, was sponsored by […]

Read More @USC Armstrong Keynotes Mississippi Podiatric Surgical Symposium Focusing on Health Disparities and an “Amputation Tsunami”

Armstrong Becomes First Podiatric Surgeon To Win @USCStevens Innovation Award @USC @USCProvost

David G. Armstrong, Professor of Surgery and Director of the USC Limb Preservation Program became the first podiatric surgeon to be awarded the 2020 USC Stevens Center Innovation Award. The award, which acknowledges top USC innovators, was given to Armstrong for his patent, “Method for Treating Subjects Suffering From Chronic Ulcers”, which was Licensed earlier […]

Read More Armstrong Becomes First Podiatric Surgeon To Win @USCStevens Innovation Award @USC @USCProvost

What is the “normal” wound bed temperature? A scoping review and new hypothesis @NUIGalway #ActAgainstAmputation @alpslimb #woundhealing #DiabeticFoot

Superb work from Georgina Gethin and team at NUI Galway. Can a wound have a “normal” temperature? Can it be “febrile”? Wound bed temperature measurement holds the potential to be a safe, easy to use, and low‐cost tool to aid objective wound bed assessment, clinical decision making and improved patient outcomes. However, there is no […]

Read More What is the “normal” wound bed temperature? A scoping review and new hypothesis @NUIGalway #ActAgainstAmputation @alpslimb #woundhealing #DiabeticFoot