David G. Armstrong (@dgarmstrong) Bsky

Control-Alt-Delete: Rebooting the Chronic Wound #ActAgainstAmputation #DFU #WoundHealing @ALPSLimb @KeckSchool_USC @USC_Vascular - DF Blog - Chronic wounds are biological computers stuck in a boot loop. Sharp debridement is Control-Alt-Delete — the histological reboot that converts a chronic wound back into an acute one. Only then can you run the apps. I don't think about chronic wounds histologically. I think about them like a slow-running computer. You know the feeling. You've got forty-seven tabs open in your browser. There's a software update running in the background that you've been ignoring for three weeks. Some program you don't remember installing is eating all your RAM. Your activity Chronic wounds are biological computers stuck in a boot loop. Sharp debridement is Control-Alt-Delete — the histological reboot that converts a chronic wound back into an acute one. Only then can you run the apps. - -

Control-Alt-Delete: Rebooting the Chronic Wound #ActAgainstAmputation #DFU #WoundHealing @ALPSLimb @KeckSchool_USC @USC_Vascular - DF Blog

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Limb Preservation: Global State of Play 2026 — ADFAS Paris Keynote #LimbPreservation #Shorts www.youtube.com/watc...

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2022-07-29 Holistic AI Health Platform for Ultra-Low Power Wearables www.youtube.com/watc...

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Wisdom from Wounds: Armstrong Headlines Diabetic Foot Congress with Keynote Honoring Sjef van Baal in the Netherlands @alpslimb #ActAgainstAmputation diabeticfootonline.c...

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Can GLP-1 Receptor Agonists Help Prevent Amputations? A New National Study from USC Suggests Yes @KeckSchool_USC @USC_Vascular @ALPSlimb #ActAgainstAmputation diabeticfootonline.c...

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Diabetic Foot Attack: 46% Amputation at 12 Months www.youtube.com/watc...

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The “Relay Race” to Healing: Insights from a Spatiotemporal Roadmap of Human Skin Wound Healing #WoundHealing - DF Blog - In the intricate dance of healing, our bodies engage in a biological relay race, passing the baton of recovery from one cellular team to the next. A groundbreaking study, “Spatiotemporal Single-Cell Roadmap of Human Skin Wound Healing,” published in Cell Stem Cell(2024), maps this race at the single-cell level, offering unparalleled insights into the dynamic processes of human In the intricate dance of healing, our bodies engage in a biological relay race, passing the baton of recovery from one cellular team to the next. A groundbreaking study, “Spatiotemporal Single-Cell Roadmap of Human Skin Wound Healing,” published in Cell Stem Cell(2024), maps this race at the single-cell level, offering unparalleled insights into the dynamic processes of human In the intricate dance of healing, our bodies engage in a biological relay race, passing the baton of recovery from one cellular team to the next. A groundbreaking study, “Spatiotemporal Single-Cell Roadmap of Human Skin Wound Healing,” published in Cell Stem Cell(2024), maps this race at the single-cell level, offering unparalleled insights into the dynamic processes of human - -

The Relay Race to Healing: Spatiotemporal Roadmap of Human Skin Wound Healing #ActAgainstAmputation #WoundHealing

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Effect of a multidisciplinary team approach in patients with diabetic foot ulcers on major adverse limb events (MALEs): systematic review and meta-analysis #ActAgainstAmputation diabeticfootonline.c...

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1 in 3 Healed DFU Patients Recur Within a Year www.youtube.com/watc...

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Understanding the Impact of Educational Interventions on Diabetes-Related Foot Disease #ActAgainstAmputation #DiabeticFoot #MetaAnalysis diabeticfootonline.c...

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From Plaster to Pixels: The Evolution of Offloading in the Diabetic Foot #ActAgainstAmputation #Offloading diabeticfootonline.c...

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The Toe and Flow Model (TFM): Dramatic Reduction in Hospitalization Across A Region- Lessons from Alberta, Canada #ActAgainstAmputation diabeticfootonline.c...

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Congestive Lower Extremity Failure: A new way to look at edema in general (and phlebolymphedema specifically)? diabeticfootonline.c...

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From a Spark to a Flame: The Evolution of Diabetic Foot Disease in the Last Two Decades #DiabeticFoot #ActAgainstAmputation - DF Blog - The Evolution of Diabetic Foot Disease Over the Past Generation Diabetes-related foot complications have long been a significant health concern, but recent research from our friends and colleagues-- international experts Marco Meloni, Alberto Piaggesi, and Luigi Uccioli offers new insights into the evolution of diabetic foot disease (DFD) over the past two decades. Their comprehensive The Evolution of Diabetic Foot Disease Over the Past Generation Diabetes-related foot complications have long been a significant health concern, but recent research from our friends and colleagues-- international experts Marco Meloni, Alberto Piaggesi, and Luigi Uccioli offers new insights into the evolution of diabetic foot disease (DFD) over the past two decades. Their comprehensive The Evolution of Diabetic Foot Disease Over the Past Generation Diabetes-related foot complications have long been a significant health concern, but recent research from our friends and colleagues-- international experts Marco Meloni, Alberto Piaggesi, and Luigi Uccioli offers new insights into the evolution of diabetic foot disease (DFD) over the past two decades. Their comprehensive - -

From a Spark to a Flame: The Evolution of Diabetic Foot Disease in the Last Two Decades #DiabeticFoot #ActAgainstAmputation

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Total-Contact Casts: Healing Ulcers Fast—with Remarkably Low Reported Thrombosis Risk #ActAgainstAmputation @ResearchatUSC @ALPSlimb #Offloading - DF Blog - While total-contact casts (TCCs) remain, along with other irremovable devices the gold standard for off-loading diabetic foot ulcers in people who can tolerate them, concerns about immobility and venous thrombosis have lingered. Our recent systematic review found surprisingly low rates of deep venous thrombosis (DVT) in patients treated with TCCs—only 1 in 136 cases (~0.7%), While total-contact casts (TCCs) remain, along with other irremovable devices the gold standard for off-loading diabetic foot ulcers in people who can tolerate them, concerns about immobility and venous thrombosis have lingered. Our recent systematic review found surprisingly low rates of deep venous thrombosis (DVT) in patients treated with TCCs—only 1 in 136 cases (~0.7%), While total-contact casts (TCCs) remain, along with other irremovable devices the gold standard for off-loading diabetic foot ulcers in people who can tolerate them, concerns about immobility and venous thrombosis have lingered. Our recent systematic review found surprisingly low rates of deep venous thrombosis (DVT) in patients treated with TCCs—only 1 in 136 cases (~0.7%), - -

Total-Contact Casts: Healing Ulcers Fast with Low Thrombosis Risk #ActAgainstAmputation #Offloading

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Learn from Prof. Dr. Lawrence Lavery's expertise to prevent foot amputations among diabetic patients. Explore his insights on diabetic foot care and at iwgdfguidelines.org/.... #ActAgainstAmputation #DiabeticFootCare

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Get the Balance Right: How Much Pressure Is Too Much for the Diabetic Foot? #ActAgainstAmputation diabeticfootonline.c...

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Liraglutide for Lower Limb Perfusion in People With Type 2 Diabetes: The STARDUST randomized clinical trial #PAD #CLTI diabeticfootonline.c...

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What is the induced membrane technique for bone/wound healing and how can it help us #ActAgainstAmputation ? - DF Blog - - -

What is the induced membrane technique for bone/wound healing? #ActAgainstAmputation #Innovation

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From Foot to Fatality: The #DiabeticFootAttack Is Real, and It’s Worse Than You Think @alpslimb #ActAgainstAmputation - DF Blog - A new single-center study from the Netherlands quantifies the devastating outcomes of the diabetic foot attack: only 48.5% wound closure, 46% major amputation by 12 months, 26% one-year mortality, and 12-month amputation-free survival of just 39.7%. Time is tissue. Our colleagues at St Antonius Hospital in Nieuwegein, the Netherlands, led by Olaf Bakker, have just published a sobering paper in the Journal of Plastic, Reconstructive & Aesthetic Surgery that quantifies what many of us have felt in our bones for years: the diabetic foot attack (DFA) is a devastating clinical event with outcomes that A new single-center study from the Netherlands quantifies the devastating outcomes of the diabetic foot attack: only 48.5% wound closure, 46% major amputation by 12 months, 26% one-year mortality, and 12-month amputation-free survival of just 39.7%. Time is tissue. - -

From Foot to Fatality: The #DiabeticFootAttack Is Real, and It’s Worse Than You Think @alpslimb #ActAgainstAmputation - DF Blog

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Turning Back the Genetic Clock: Reactivating Organ Regeneration in Mammals – and the role of this molecule #Science diabeticfootonline.c...

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The Pressure Is Worth It: Custom Footwear Guided by In-Shoe Pressure Data Is Cost-Effective for Preventing DFU Recurrence #ActAgainstAmputation #DFU #Remission @DiabetologyMdpi @ALPSLimb - DF Blog - A cost-effectiveness analysis of the DIAFOS trial shows that in-shoe plantar pressure-guided custom footwear saves over €8,000 per ulcer prevented — and adherent patients push the probability of cost-effectiveness to 94%. The economic case for prevention just got stronger. We talk a lot about the importance of offloading in preventing diabetic foot ulcer recurrence. We talk about it in guidelines. We talk about it in lectures. We talk about it with our patients. But the conversation too often stops at the clinic door — and it almost never reaches the people who write the A cost-effectiveness analysis of the DIAFOS trial shows that in-shoe plantar pressure-guided custom footwear saves over €8,000 per ulcer prevented — and adherent patients push the probability of cost-effectiveness to 94%. The economic case for prevention just got stronger. - -

The Pressure Is Worth It: Custom Footwear Guided by In-Shoe Pressure Data Is Cost-Effective for Preventing DFU Recurrence #ActAgainstAmputation #DFU #Remission @DiabetologyMdpi @ALPSLimb - DF Blog

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Every 20 Seconds: Diabetes-Related Amputation Is Now Mapped Globally — From ZIP Code to Planet #ActAgainstAmputation @American_Heart @ALPSlimb @APMA @VascularSVS - DF Blog - A few weeks ago, we launched The ZIP Code Lottery — a data narrative showing how amputation rates in Los Angeles County track almost perfectly with poverty, not clinical severity. It struck a nerve. The response told us something important: people want to see the data, and they want it to be impossible to look A few weeks ago, we launched The ZIP Code Lottery — a data narrative showing how amputation rates in Los Angeles County track almost perfectly with poverty, not clinical severity. It struck a nerve. The response told us something important: people want to see the data, and they want it to be impossible to look A few weeks ago, we launched The ZIP Code Lottery — a data narrative showing how amputation rates in Los Angeles County track almost perfectly with poverty, not clinical severity. It struck a nerve. The response told us something important: people want to see the data, and they want it to be impossible to look - -

Every 20 Seconds: Diabetes-Related Amputation Is Now Mapped Globally — From ZIP Code to Planet #ActAgainstAmputation @American_Heart @ALPSlimb Ana. @VascularSVS - DF Blog

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Botox for Wound Healing? A Cell Paper Breakthrough www.youtube.com/watc...

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Sunday Morning Wish Fulfilled: AI Meets Thermometry in Diabetic Foot Remission — A Scoping Review of 60 Studies #ActAgainstAmputation #AI #Thermography #DFU - DF Blog - A scoping review from Kanazawa University maps 60 studies on AI-powered thermography for diabetic foot detection — and reveals a critical gap: nearly half of all studies were tested only in controlled environments, not the real world where feet actually live. It's Sunday morning here in Los Angeles. I'm walking down Ventura Boulevard, coffee in hand, and I found myself thinking: where is the review that pulls together all of the strategies for using artificial intelligence to analyze thermometric data in the diabetic foot? We've known for decades that temperature monitoring is one of the most A scoping review from Kanazawa University maps 60 studies on AI-powered thermography for diabetic foot detection — and reveals a critical gap: nearly half of all studies were tested only in controlled environments, not the real world where feet actually live. - -

Sunday Morning Wish Fulfilled: AI Meets Thermometry in Diabetic Foot Remission — A Scoping Review of 60 Studies #ActAgainstAmputation #AI #Thermography #DFU - DF Blog

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Socially Intelligent Robotics to Augment Dementia Care www.youtube.com/watc...

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USC Podiatric Surgeon Prof. David G. Armstrong Sets a New Record with Over 80,000 Citations and an h-index of 125 #ActAgainstAmputation #DiabeticFoot - DF Blog - December 11, 2024 David G. Armstrong, DPM, MD, PhD, Professor of Surgery and Neurological Surgery at the University of Southern California and a global leader in diabetic limb preservation, has reached another milestone. According to Google Scholar, Dr. Armstrong’s research has now been cited over 80,000 times, achieving an h-index of 125 and an i10-index December 11, 2024 David G. Armstrong, DPM, MD, PhD, Professor of Surgery and Neurological Surgery at the University of Southern California and a global leader in diabetic limb preservation, has reached another milestone. According to Google Scholar, Dr. Armstrong’s research has now been cited over 80,000 times, achieving an h-index of 125 and an i10-index December 11, 2024 David G. Armstrong, DPM, MD, PhD, Professor of Surgery and Neurological Surgery at the University of Southern California and a global leader in diabetic limb preservation, has reached another milestone. According to Google Scholar, Dr. Armstrong’s research has now been cited over 80,000 times, achieving an h-index of 125 and an i10-index - -

USC Podiatric Surgeon sets record with 80000+ citations and h-index of 125 #ActAgainstAmputation

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Cost-of-illness studies in chronic ulcers: a systematic review - DF Blog - Bottom line from Chan, et al: Mean one year cost from a public payer perspective was $44,200 for diabetic foot ulcer (DFU), $15,400 for pressure ulcer (PU) and $11,000 for leg ulcer (LU). B. Chan MSc Leslie Dan Faculty of Pharmacy, University of Toronto, Canada S. Cadarette PhD Leslie Dan Faculty of Pharmacy, University of Toronto, Canada Bottom line from Chan, et al: Mean one year cost from a public payer perspective was $44,200 for diabetic foot ulcer (DFU), $15,400 for pressure ulcer (PU) and $11,000 for leg ulcer (LU). B. Chan MSc Leslie Dan Faculty of Pharmacy, University of Toronto, Canada S. Cadarette PhD Leslie Dan Faculty of Pharmacy, University of Toronto, Canada Bottom line from Chan, et al: Mean one year cost from a public payer perspective was $44,200 for diabetic foot ulcer (DFU), $15,400 for pressure ulcer (PU) and $11,000 for leg ulcer (LU). B. Chan MSc Leslie Dan Faculty of Pharmacy, University of Toronto, Canada S. Cadarette PhD Leslie Dan Faculty of Pharmacy, University of Toronto, Canada - -

Cost of illness studies in chronic ulcers: a systematic review #ActAgainstAmputation #Cost

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You Are What You Eat — And That’s Pretty Inflammatory: A New Composite Biomarker for DFU Risk #ActAgainstAmputation #DFU #Nutrition @ALPSLimb - DF Blog - A novel inflammation-nutrition biomarker — the neutrophil percentage-to-albumin ratio (NPAR) — shows strong association with diabetic foot ulcer risk in a 1,002-patient study from Xi'an, China, reinforcing that what patients eat and how they inflame are inseparable in the diabetic foot. We have been saying it here for years: nutrition and inflammation are not parallel tracks in the diabetic foot. They are the same track. Chronic inflammation devours nutritional reserves. Nutritional deficiency fans the inflammatory flame. And the foot — sitting at the end of a long and compromised vascular tree — absorbs the consequences of A novel inflammation-nutrition biomarker — the neutrophil percentage-to-albumin ratio (NPAR) — shows strong association with diabetic foot ulcer risk in a 1,002-patient study from Xi'an, China, reinforcing that what patients eat and how they inflame are inseparable in the diabetic foot. - -

You Are What You Eat — And That’s Pretty Inflammatory: A New Composite Biomarker for DFU Risk #ActAgainstAmputation #DFU #Nutrition @ALPSLimb - DF Blog

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State of the University: President praises campus community’s strength, grace – calls out @NIDDK @KeckSchool_USC Smart Boot Study #ActAgainstAmputation @presidentfolt @USC_vascular diabeticfootonline.c...

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Posts by David G. Armstrong