Research Milestone: Armstrong and SALSA Team Surpass 90,000 Citations, Highlighting Global Shift Toward Limb Preservation @ALPSlimb @KeckSchool_USC @USC @USC_Vascular #ActAgainstAmputation

FOR IMMEDIATE RELEASE

LOS ANGELES – The work of David G. Armstrong, DPM, MD, PhD, and the Southwestern Academic Limb Salvage Alliance (SALSA) has crossed a significant bibliometric threshold, surpassing 90,000 citations in peer-reviewed literature.

According to Google Scholar, Professor Armstrong’s research now holds an h-index of 133 and an i10-index of 549, reflecting the profound and widening impact of the “Toe and Flow” team approach to eliminating preventable amputations.

This milestone places Armstrong, a Distinguished Professor of Surgery and Neurological Surgery at the Keck School of Medicine of USC, among the top 0.1% of cited clinician-scientists worldwide. However, the team emphasizes that these metrics represent more than just academic recognition—they signal a critical evolution in how the medical community treats the diabetic foot.

“While numbers like these are flattering, they are really a lagging indicator of the hard work of hundreds of teammates, fellows, and collaborators around the world over the last three decades,” said Dr. Armstrong, founder and co-Director of SALSA. “What this really tells us is that the silent pandemic of diabetic foot complications is finally being heard. Every citation represents a clinician somewhere in the world looking for a better way to keep a patient moving through their world.”

Key Metrics:

  • Total Citations: >90,000
  • h-index: 133
  • i10-index: 549
  • Manuscripts: >750

The research spanned by these citations covers critical advancements in wound healing, infection management, offloading technology, and the organization of interdisciplinary amputation prevention teams. As the founding President of the American Limb Preservation Society (ALPS), Armstrong notes that the mission remains unchanged.

“Our goal has never been about the impact factor of a journal,” Armstrong added. “It is about the ‘impact factor of one’—making a difference for the next patient walking through the door. We are just getting started.”

About David G. Armstrong: David G. Armstrong is a Professor of Surgery and Neurological Surgery at the University of Southern California and the Director of the USC Center to Stream Healthcare in Place (C2SHiP). He is the founder and co-director of the Southwestern Academic Limb Salvage Alliance (SALSA) and has produced more than 750 peer-reviewed manuscripts and over 120 books or book chapters.

Sketch of Prof. DG Armstrong during keynote, 2025

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