OrthoNeuro Podiatrist/ Wound Care Specialist Published in Cureus Journal of Medical Science
Dr. Ralph Napolitano, Jr. and The Orthopedic Foundation Summer Research Intern, Abbey Karlock’s article, “Closed-Incision Negative Pressure Therapy in Place of Surgical Drain Placement in Plantar Fibroma Excision Surgery: A Case Series.” was published in the Cureus Journal of Medical Science.
Their abstract was also submitted to the Fall Symposium on Advanced Wound Care.
Plantar fibromas are benign masses of fibrous tissue that develop in the arch of the foot arising from the plantar fascia. Symptomatology varies and is often related to weight bearing anatomic correlations or impingement of neurological or musculoskeletal structures. Several treatment options are available and include palliative measures, non-operative interventions and surgery, all with varying degrees of success and complication risk. The aim of this case study series was to assess surgical wound healing retrospectively in three patients who underwent wide en bloc plantar fibroma excision surgery for symptomatic lesions. Their incision was managed with a disposable closed-incision negative pressure therapy device (Prevena™; 3M + KCI, St. Paul, MN) in lieu of surgical drains. All three patients demonstrated favorable outcomes without complications.
Dr. Napolitano is a double board-certified podiatrist and wound care specialist physician. He specializes in medicine, surgery and wound care of the foot, ankle and lower leg. He earned his bachelor’s degree in biology with minors in chemistry and music from Baldwin-Wallace University in Berea, Ohio and his medical degree from the Ohio College of Podiatric Medicine in Cleveland, Ohio which is now Kent State University College of Podiatric Medicine. He was the first podiatrist in the state of Ohio to earn the board certification Certified Wound Specialist Physician (CWSP). Areas of special clinical interest, research and publications include: general podiatric medicine and surgery, wound care and healing, diabetic foot wounds, lower limb surgical salvage, management of surgical wound complications, lower limb sports medicine, athletic shoe gear consulting, aesthetic podiatry and laser care.