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It Takes Roots to Save Limbs

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David Armstrong

on 16 April 2014

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Transcript of It Takes Roots to Save Limbs

outcomes of Toe & Flow
It Takes Roots to Save Limbs: Lessons Learned at SALSA
How do we build a team
The roots of the problem
It has high mortality
Joseph L Mills, MD
David G Armstrong, DPM, MD, PhD
Luke X Zhan, MD/PhD
Increase in class associated with higher risk of :

high-level amputation

Armstrong et al, Diabetic Med, 2003
Armstrong, et al, Int Wound J., 2006
Diabetic foot ulcer = Cancer ?
Diabetic foot ulcer is common
It is costly
Why is diabetic foot an important health issue?
Resvascularization prolongs life and improves healing
Diabetes is diagnosed once
every 17 seconds

70% of the lower extremity amputation
in the world are associated with diabetes

Every 20 seconds
, somewhere in the world, a lower extremity is amputated in a patient with diabetes
Diabetic foot ulcer infection: most common reason for hospital admission

Infection: ulcer ratio = 0.56

DFU: 18.9 billion $

1 in 5 leads to lower extremity amputation

Amputation: 11.7 billion $
How to save a limb?
Full transcript