Keck School Faculty

David G. Armstrong
David G. Armstrong
Professor Of Clinical Surgery
Surgery
1520 San Pablo Street Health Sciences Campus Los Angeles
Dr. Armstrong is Professor of Clinical Surgery at the University of Southern California. Dr. Armstrong holds a Masters of Science in Tissue Repair and Wound Healing from the University of Wales College of Medicine and a PhD from the University of Manchester College of Medicine, where he was appointed Visiting Professor of Medicine. He is founder and co-Director of the Southwestern Academic Limb Salvage Alliance (SALSA).

Dr. Armstrong has produced more than 490 peer-reviewed research papers in dozens of scholarly medical journals as well as over 90 book chapters. He is co-Editor of the American Diabetes Association’s (ADA) Clinical Care of the Diabetic Foot, now in its third edition.

Armstrong was appointed Deputy Director of Arizona’s Center for Accelerated Biomedical Innovation (ACABI) and co-founder of its “augmented human” initiative, which places him at the nexus of the merger of consumer electronics, wearables and medical devices.

Dr. Armstrong was selected as one of the first six International Wound Care Ambassadors and is the recipient of numerous awards and degrees by universities and international medical organizations including the inaugural Georgetown Distinguished Award for Diabetic Limb Salvage. In 2008, he was the 25th and youngest-ever member elected into the Podiatric Medicine Hall of Fame. He was the first surgeon to be named University Distinguished Outreach Professor at the University of Arizona. He was the first podiatric surgeon to become a member of the Society of Vascular Surgery and the first US podiatric surgeon named fellow of the Royal College of Surgeons, Glasgow. He is the 2010 and youngest ever recipient of the ADA’s Roger Pecoraro Award, the highest award given in the field.

Dr. Armstrong is past Chair of Scientific Sessions for the ADA’s Foot Care Council, and a past member of the National Board of Directors of the American Diabetes Association as well as a former commissioner with the Illinois State Diabetes Commission. He sits on the Infectious Disease Society of America’s (IDSA) Diabetic Foot Infection Advisory Committee and is the US appointed delegate to the International Working Group on the Diabetic Foot (IWGDF). Dr. Armstrong is the founder and co-chair of the International Diabetic Foot Conference (DF-Con), the largest annual international symposium on the diabetic foot in the world.

General Surgery: Top Author Commendation, 2017

California School of Podiatric Medicine: Heather Barton Alumnus Award, 2017

PM Magazine: Most Influential Podiatric Surgeons, 2017

General Surgery: Ooops. Something went wrong., 2017

University of Arizona: University Distinguished Outreach Professor, 2017

PM Magazine: Ooops. Something went wrong., 2017

California School of Podiatric Medicine: Ooops. Something went wrong., 2017

University of Arizona: Ooops. Something went wrong., 2017

National Academics of Practice: Distinguished Fellow, 2015

National Academics of Practice: Ooops. Something went wrong., 2015

National Health Information Awards: Ooops. Something went wrong., 2013

University of Arizona/Tech Launch Arizona: Ooops. Something went wrong., 2013

Brigham and Women's Hospital: Visiting Professor of Surgery, 2013

University of Arizona/Tech Launch Arizona: Leading Edge Researcher, 2013

National Health Information Awards: Gold Award, 2013

University of Western Australia: Ooops. Something went wrong., 2013

University of Western Australia: The Raine Visiting Professorship, 2013

Brigham and Women's Hospital: Ooops. Something went wrong., 2013

Royal College of Physicians and Surgeons of Glasgow: Ooops. Something went wrong., 2012

Royal College of Physicians and Surgeons of Glasgow: Fellow, 2012

Podiatry Management VIP List: Ooops. Something went wrong., 2011

Podiatry Management VIP List: Most Influential Podiatric Surgeons, 2011

American Diabetes Association : Ooops. Something went wrong., 2010

American Diabetes Association : Roger Pecoraro Award, 2010

Universidad Complutense, Madrid: Honorary Professor of Medicine, 2008

Universidad Complutense, Madrid: Ooops. Something went wrong., 2008

Georgetown University: Ooops. Something went wrong., 2007

Georgetown University: Georgetown Distinguished Lifetime Achievement Award in Diabetic Limb Salvage, 2007

University of Manchester: Ooops. Something went wrong., 2006

University of Manchester: Visiting Professor of Medicine, 2006

American Podiatric Medical Association: Meritorious Service Award, 2002

American Podiatric Medical Association: Ooops. Something went wrong., 2002

Disparities in outcomes of patients admitted with diabetic foot infections PLoS One. 2019; 14(2):e0211481. . View in PubMed

A histologically hostile environment made more hospitable? Nat Rev Endocrinol. 2018 Sep; 14(9):511-512.. View in PubMed

Continuous diffusion of oxygen improves diabetic foot ulcer healing when compared with a placebo control: a randomised, double-blind, multicentre study J Wound Care. 2018 Sep 01; 27(Sup9):S30-S45. . View in PubMed

A histologically hostile environment made more hospitable? Nat Rev Endocrinol. 2018 Jul 27.. View in PubMed

Angiographic assessment of atherosclerotic load at the lower extremity in patients with diabetic foot and charcot neuro-arthropathy J Chin Med Assoc. 2018 Jun; 81(6):565-570. . View in PubMed

Current Challenges and Opportunities in the Prevention and Management of Diabetic Foot Ulcers Diabetes Care. 2018 Apr; 41(4):645-652. . View in PubMed

Current Challenges and Opportunities in the Prevention and Management of Diabetic Foot Ulcers Diabetes Care. 2018 04; 41(4):645-652. . View in PubMed

Diabetic Foot Australia guideline on footwear for people with diabetes J Foot Ankle Res. 2018; 11:2. . View in PubMed

Building a scalable diabetic limb preservation program: four steps to success Diabet Foot Ankle. 2018; 9(1):1452513. . View in PubMed

A qualitative study to examine older adults' perceptions of health: Keys to aging successfully Geriatr Nurs. 2017 Nov - Dec; 38(6):485-490. . View in PubMed

A Prospective, Randomized, Double-Blind Multicenter Study Comparing Continuous Diffusion of Oxygen Therapy to Sham Therapy in the Treatment of Diabetic Foot Ulcers J Diabetes Sci Technol. 2017 Sep; 11(5):883-891. . View in PubMed

An Optical-Fiber-Based Smart Textile (Smart Socks) to Manage Biomechanical Risk Factors Associated With Diabetic Foot Amputation J Diabetes Sci Technol. 2017 Jul; 11(4):668-677. . View in PubMed

Can't Stand the Pressure: The Association Between Unprotected Standing, Walking, and Wound Healing in People With Diabetes J Diabetes Sci Technol. 2017 Jul; 11(4):657-667. . View in PubMed

Does Physiological Stress Slow Down Wound Healing in Patients With Diabetes? J Diabetes Sci Technol. 2017 Jul; 11(4):685-692.. View in PubMed

Int J Low Extrem Wounds. 2017 Jun; 16(2):104-107. . View in PubMed

A model to estimate cost-savings in diabetic foot ulcer prevention efforts J Diabetes Complications. 2017 Apr; 31(4):700-707. . View in PubMed

Characteristics and clinical assessment of antibiotic delivery by chitosan sponge in the high-risk diabetic foot: a case series J Wound Care. 2017 Apr 01; 26(sup4):S32-S38. . View in PubMed

A Prospective, Randomized, Double-Blind Multicenter Study Comparing Continuous Diffusion of Oxygen Therapy to Sham Therapy in the Treatment of Diabetic Foot Ulcers J Diabetes Sci Technol. 2017 09; 11(5):883-891. . View in PubMed

Can't Stand the Pressure: The Association Between Unprotected Standing, Walking, and Wound Healing in People With Diabetes J Diabetes Sci Technol. 2017 07; 11(4):657-667. . View in PubMed

An Optical-Fiber-Based Smart Textile (Smart Socks) to Manage Biomechanical Risk Factors Associated With Diabetic Foot Amputation J Diabetes Sci Technol. 2017 07; 11(4):668-677. . View in PubMed

Does Physiological Stress Slow Down Wound Healing in Patients With Diabetes? J Diabetes Sci Technol. 2017 07; 11(4):685-692.. View in PubMed

A review of genetic engineering biotechnologies for enhanced chronic wound healing Exp Dermatol. 2017 02; 26(2):179-185. . View in PubMed

Diabetic Foot Ulcers and Their Recurrence N Engl J Med. 2017 06 15; 376(24):2367-2375. . View in PubMed

Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report Diabet Foot Ankle. 2017; 8(1):1270076. . View in PubMed

CORR Insights(®): Is Assessment of Femoral Head Perfusion During Modified Dunn for Unstable Slipped Capital Femoral Epiphysis an Accurate Indicator of Osteonecrosis? Clin Orthop Relat Res. 2016 08; 474(8):1845-6.. View in PubMed

Association between Serum Cystatin C and Diabetic Foot Ulceration in Patients with Type 2 Diabetes: A Cross-Sectional Study J Diabetes Res. 2016; 2016:8029340. . View in PubMed

Cybersecurity Regulation of Wireless Devices for Performance and Assurance in the Age of "Medjacking" J Diabetes Sci Technol. 2015 Aug 27; 10(2):435-8. . View in PubMed

J Foot Ankle Surg. 2015 May-Jun; 54(3):382-91. . View in PubMed

A Multicenter Randomized Controlled Trial Comparing Treatment of Venous Leg Ulcers Using Mechanically Versus Electrically Powered Negative Pressure Wound Therapy Adv Wound Care (New Rochelle). 2015 Feb 01; 4(2):75-82. . View in PubMed

A Diabetic Emergency One Million Feet Long: Disparities and Burdens of Illness among Diabetic Foot Ulcer Cases within Emergency Departments in the United States, 2006-2010 PLoS One. 2015; 10(8):e0134914. . View in PubMed

A heads-up display for diabetic limb salvage surgery: a view through the google looking glass J Diabetes Sci Technol. 2014 Sep; 8(5):951-6. . View in PubMed

Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial Diabet Med. 2014 Sep; 31(9):1069-77. . View in PubMed

Diabetic foot ulcers: Part IPathophysiology and prevention. J Am Acad Dermatol. 2014 Jan; 70(1):1. e1-18; quiz 19-20. . View in PubMed

Diabetic foot ulcers: Part IIManagement. J Am Acad Dermatol. 2014 Jan; 70(1):21. e1-24; quiz 45-6. . View in PubMed

Chronic wounds with emphasis in diabetic foot ulcers Biomed Res Int. 2014; 2014:890352. . View in PubMed

Balance rehabilitation: promoting the role of virtual reality in patients with diabetic peripheral neuropathy J Am Podiatr Med Assoc. 2013 Nov-Dec; 103(6):498-507. . View in PubMed

An anatomic study of the distal femoral epiphysis J Pediatr Orthop. 2013 Oct-Nov; 33(7):743-9. . View in PubMed

Author’s response J Am Podiatr Med Assoc. 2013 Jul-Aug; 103(4):344. . View in PubMed

Early quantitative evaluation of indocyanine green angiography in patients with critical limb ischemia J Vasc Surg. 2013 May; 57(5):1213-8. . View in PubMed

Comment on: BernsteinReducing foot wounds in diabetes. Diabetes Care 2013;36:e48. Diabetes Care. 2013 Apr; 36(4):e62. . View in PubMed

An anatomic study of the epiphyseal tubercle and its importance in the pathogenesis of slipped capital femoral epiphysis J Bone Joint Surg Am. 2013 Mar 20; 95(6):e341-8. . View in PubMed

2012 infectious diseases society of america clinical practice guideline for the diagnosis and treatment of diabetic foot infections J Am Podiatr Med Assoc. 2013 Jan-Feb; 103(1):2-7. . View in PubMed

Comparison of initial hemodynamic response after endovascular therapy and open surgical bypass in patients with diabetes mellitus and critical limb ischemia J Vasc Surg. 2012 Aug; 56(2):380-6; discussion 386. . View in PubMed

Clinical efficacy of the pan metatarsal head resection as a curative procedure in patients with diabetes mellitus and neuropathic forefoot wounds Foot Ankle Spec. 2012 Aug; 5(4):235-40. . View in PubMed

2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections Clin Infect Dis. 2012 Jun; 54(12):e132-73. . View in PubMed

Comparative effectiveness of mechanically and electrically powered negative pressure wound therapy devices: a multicenter randomized controlled trial Wound Repair Regen. 2012 May-Jun; 20(3):332-41. . View in PubMed

A novel combination of printed 3-dimensional anatomic templates and computer-assisted surgical simulation for virtual preoperative planning in Charcot foot reconstruction J Foot Ankle Surg. 2012 May-Jun; 51(3):387-93. . View in PubMed

Coming events cast their shadows before: detecting inflammation in the acute diabetic foot and the foot in remission Diabetes Metab Res Rev. 2012 Feb; 28 Suppl 1:15-20. . View in PubMed

A tale of two soles: sociomechanical and biomechanical considerations in diabetic limb salvage and amputation decision-making in the worst of times Diabet Foot Ankle. 2012; 3. . View in PubMed

Adventitious bursae underlying chronic wounds: another possible deterrent to healing Eplasty. 2012; 12:e14. . View in PubMed

Diabetic foot ulcers and vascular insufficiency: our population has changed, but our methods have not J Diabetes Sci Technol. 2011 Nov 01; 5(6):1591-5. . View in PubMed

An overview of foot infections in diabetes Diabetes Technol Ther. 2011 Sep; 13(9):951-7. . View in PubMed

Comparison of negative pressure wound therapy with an ultraportable mechanically powered device vstraditional electrically powered device for the treatment of chronic lower extremity ulcers: a multicenter randomized-controlled trial. Wound Repair Regen. 2011 Mar-Apr; 19(2):173-80. . View in PubMed

Diagnostics, theragnostics, and the personal health server: fundamental milestones in technology with revolutionary changes in diabetic foot and wound care to come Foot Ankle Spec. 2011 Feb; 4(1):54-60. . View in PubMed

DiscussionUpdate on negative-pressure wound therapy. Plast Reconstr Surg. 2011 Jan; 127 Suppl 1:116S. . View in PubMed

An update on pharmacological interventions for diabetic foot ulcers Foot Ankle Spec. 2010 Oct; 3(5):285-302. . View in PubMed

A step-wise approach for surgical management of diabetic foot infections J Vasc Surg. 2010 Sep; 52(3 Suppl):72S-75S. . View in PubMed

A stepwise approach for surgical management of diabetic foot infections J Am Podiatr Med Assoc. 2010 Sep-Oct; 100(5):401-5. . View in PubMed

Digital planimetry results in more accurate wound measurements: a comparison to standard ruler measurements J Diabetes Sci Technol. 2010 Jul 01; 4(4):799-802. . View in PubMed

Chronic, painful lower extremity wounds: postoperative pain management through the use of continuous infusion of regional anaesthesia supplied by a portable pump device Int Wound J. 2010 Jun; 7(3):195-8. . View in PubMed

Diabetic foot infections: A need for innovative assessments Int J Low Extrem Wounds. 2010 Mar; 9(1):31-6. . View in PubMed

Gait Posture. 2010 Jan; 31(1):87-92. . View in PubMed

Creating a diabetes foot reminder-based registry using the electronic medical record Inform Prim Care. 2010; 18(4):283-7. . View in PubMed

Common foot problems and their solutions Diabetes Self Manag. 2009 Sep-Oct; 26(5):64-7. . View in PubMed

A method of external fixation to offload and protect the foot following reconstruction in high-risk patients: the SALSAstand Eplasty. 2009 Jun 04; 9:e21. . View in PubMed

Defining success in clinical trials of diabetic foot wounds: the Los Angeles DFCon consensus Int Wound J. 2009 Jun; 6(3):211-3. . View in PubMed

Clinical effectiveness of an acellular dermal regenerative tissue matrix compared to standard wound management in healing diabetic foot ulcers: a prospective, randomised, multicentre study Int Wound J. 2009 Jun; 6(3):196-208. . View in PubMed

A method for assessing off-loading compliance J Am Podiatr Med Assoc. 2009 Mar-Apr; 99(2):100-3. . View in PubMed

Combined clinical and laboratory testing improves diagnostic accuracy for osteomyelitis in the diabetic foot J Foot Ankle Surg. 2009 Jan-Feb; 48(1):39-46. . View in PubMed

Comprehensive foot examination and risk assessmentA 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. Phys Ther. 2008 Nov; 88(11):1436-43. . View in PubMed

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 Diabetes Care. 2008 Aug; 31(8):1679-85. . View in PubMed

Comprehensive foot examination and risk assessment Endocr Pract. 2008 Jul-Aug; 14(5):576-83. . View in PubMed

CLEAR Cleat: a proof-of-concept trial of an aerobic activity facilitator to reduce plantar forefoot pressures and their potential in those with foot ulcers J Am Podiatr Med Assoc. 2008 Jul-Aug; 98(4):261-7. . View in PubMed

Clinical outcome of diabetic foot ulcers treated with negative pressure wound therapy and the transition from acute care to home care Int Wound J. 2008 Jun; 5 Suppl 2:10-6. . View in PubMed

Diabetic foot surgery: classifying patients to predict complications Diabetes Metab Res Rev. 2008 May-Jun; 24 Suppl 1:S81-3. . View in PubMed

Charcot's arthropathy in a patient with HIV-associated neuropathy J Am Podiatr Med Assoc. 2008 Mar-Apr; 98(2):153-5. . View in PubMed

A technique to protect external fixation devices J Foot Ankle Surg. 2008 Mar-Apr; 47(2):172-4. . View in PubMed

Addition of surgical correction to compression therapy reduced recurrences in chronic venous leg ulceration ACP J Club. 2007 Nov-Dec; 147(3):73. . View in PubMed

Assessing the impact of pharmacologic intervention on the quality of life in diabetic peripheral neuropathic pain and fibromyalgia Pain Med. 2007 Sep; 8 Suppl 2:S33-42. . View in PubMed

Duloxetine for the management of diabetic peripheral neuropathic pain: evaluation of functional outcomes Pain Med. 2007 Jul-Aug; 8(5):410-8. . View in PubMed

Clinical predictors of treatment failure for diabetic foot infections: data from a prospective trial Int Wound J. 2007 Mar; 4(1):30-8. . View in PubMed

Int Wound J. 2006 Dec; 3(4):302-7. . View in PubMed

Diabetic foot disordersA clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006 Sep-Oct; 45(5 Suppl):S1-66. . View in PubMed

2006 Jul-Aug; 45(4):284-5; author reply 285-6. . View in PubMed

J Am Podiatr Med Assoc. 2006 Jul-Aug; 96(4):290-2. . View in PubMed

Consensus statement on negative pressure wound therapy (VA. C. Therapy) for the management of diabetic foot wounds. Ostomy Wound Manage. 2006 Jun; Suppl:1-32. . View in PubMed

Acute neuropathic joint disease: a medical emergency? Diabetes Care. 2006 Apr; 29(4):951-2; author reply 952.. View in PubMed

A retrospective study of patients with diabetes mellitus after partial foot amputation and hyperbaric oxygen treatment J Foot Ankle Surg. 2006 Jan-Feb; 45(1):58-9; author reply 59-60. . View in PubMed

Int Wound J. 2005 Jun; 2(2):166-70. . View in PubMed

Diabetic lower extremity infection: influence of physical, psychological, and social factors J Diabetes Complications. 2005 Mar-Apr; 19(2):107-12. . View in PubMed

Cooling the foot to prevent diabetic foot wounds: a proof-of-concept trial J Am Podiatr Med Assoc. 2005 Mar-Apr; 95(2):103-7. . View in PubMed

A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers Diabetes Care. 2005 Mar; 28(3):555-9. . View in PubMed

Diabetic foot infections: stepwise medical and surgical management Int Wound J. 2004 Jun; 1(2):123-32. . View in PubMed

Advances in the treatment of diabetic foot infections Diabetes Technol Ther. 2004 Apr; 6(2):167-77. . View in PubMed

Decreasing foot pressures while implementing topical negative pressure (vacuum-assisted closure) therapy Int J Low Extrem Wounds. 2004 Mar; 3(1):12-5. . View in PubMed

Computerized activity monitoring preoperatively and postoperatively J Foot Ankle Surg. 2004 Mar-Apr; 43(2):131-3. . View in PubMed

Clinical efficacy of the first metatarsophalangeal joint arthroplasty as a curative procedure for hallux interphalangeal joint wounds in patients with diabetes Diabetes Care. 2003 Dec; 26(12):3284-7. . View in PubMed

2003 William JStickel Silver Award. Skin temperatures as a one-time screening tool do not predict future diabetic foot complications. J Am Podiatr Med Assoc. 2003 Nov-Dec; 93(6):443-7. . View in PubMed

Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen Diabetes Care. 2003 Sep; 26(9):2595-7. . View in PubMed

Diabetic foot syndrome: evaluating the prevalence and incidence of foot pathology in Mexican Americans and non-Hispanic whites from a diabetes disease management cohort Diabetes Care. 2003 May; 26(5):1435-8. . View in PubMed

5 questions--and answers--about maggot debridement therapy Adv Skin Wound Care. 2003 Mar-Apr; 16(2):99-102. . View in PubMed

Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus J Am Podiatr Med Assoc. 2002 Oct; 92(9):479-82. . View in PubMed

Charcot's arthropathy of the foot J Am Podiatr Med Assoc. 2002 Jul-Aug; 92(7):390-4. . View in PubMed

Chemical matrixectomy for ingrown toenails: Is there an evidence basis to guide therapy? J Am Podiatr Med Assoc. 2002 May; 92(5):287-95.. View in PubMed

Cerebral vascular accident in the infected diabetic ulcer patient J Am Podiatr Med Assoc. 2002 Jan; 92(1):59-60. . View in PubMed

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