The Future of DFU Management: Study Reveals Interdisciplinary Power in Diabetic Foot Ulcer Care

19. April 2024
Alison Evans


In the relentless pursuit of eliminating preventable amputations and promoting comprehensive care for diabetic foot ulcers (DFUs), a recent manuscript sheds light on the transformative impact of interdisciplinary collaboration. Led by a team of esteemed clinicians, including Dr. David Armstrong, a leading figure in the field of limb preservation, alongside Dr. Laura Shin and Dr. Vincent L. Rowe, the study underscores the vital role of interdisciplinary teams in revolutionizing DFU management.

The manuscript delves into the efficacy of an Interdisciplinary Limb Preservation Service (LPS) in improving surgical outcomes for DFU patients compared to traditional care models. Drawing from a retrospective analysis spanning from January 2017 to September 2020, the study showcases a remarkable shift in surgical outcomes following the implementation of the LPS in August 2018.

Key findings reveal a significant reduction in major amputation rates by 45% post-LPS implementation, accompanied by a decline in hospital length of stay. Notably, the interdisciplinary LPS facilitated a substantial increase in outpatient procedures, demonstrating its proactive and preventive approach to limb preservation.

One of the study’s notable aspects is its comparison of outcomes between the preexisting Single-Specialty Foot Service (SSS) and the newly established LPS. Contrary to concerns about redundancy, the coexistence of both services proved synergistic. While the SSS managed routine cases, the LPS focused on complex, limb-threatening conditions, redirecting major amputations to the SSS while emphasizing interdisciplinary limb salvage solutions.

Moreover, the study highlights the potential of interdisciplinary approaches to address healthcare disparities, particularly among Hispanic populations disproportionately affected by DFUs. By integrating diverse specialties and streamlining care coordination, the LPS not only reduced major amputation rates but also paved the way for significant cost savings and improved quality of life for patients.

The manuscript underscores the transformative potential of interdisciplinary teams in diabetic foot ulcer care. As healthcare systems strive for comprehensive and patient-centered care, the adoption of interdisciplinary programs like the LPS holds immense promise in optimizing outcomes and advancing the standard of care for DFU patients worldwide.

Read the manuscript here.

For more information about the manuscript or Dr. Armstrong’s work and upcoming initiatives, please contact Alison Evans, American Limb Preservation Society at

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