Jennifer L Pappalardo

Interests

Research

Diabetic Infection and ReconstructionReconstructive Podiatric SurgeryAmputation and Neuropathic Ulcer PreventionTissue alternatives and skin grafting in the diabetic footMusculoskeletal imaging for diabetic foot

Teaching

Surgical and Conservative Management in Diabetic Foot

Courses

No activities entered.

Scholarly Contributions

Chapters

• Hatch, D. C., Saucic, V., Pappalardo, J., & Armstrong, D. G. (2016). Autogenous Split-Thickness Skin Grafting for Diabetic Foot Wounds. In Diabetic Foot Reconstruction, Zgonis T (ed.). Walters Kluwer Press.
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  In Press
• Pappalardo, J., & Armstrong, D. G. (2013). Principles of Debridement in Infected Foot. In Contemporary Management of the Diabetic Foot, Sharad Pendsey , ed(pp 102-110). New Dehli,: Jaypee Brothers.

Journals/Publications

• Patel, N., Tan, T., Weinkauf, C. C., Rice, A. H., Rottman, A. M., Pappalardo, J., Kramer, C. J., Goshima, K., & Zhou, W. (2021). Economic Value of Podiatry Service in Limb Salvage Alliance.. Journal of Vascular Surgery., 24, SO741-5214. doi:DOI:https://doi.org/10.1016/j.jvs.2021.07.126.
• Chadaz, T., Taylor, P., Pappalardo, J., Rice, A., Mccurdy, W., Krupinsky, E., & Taljanovic, M. (2020). Is there added value of DWI and intravenous contrast with MRI of diabetic foot infections?. Society of Skeletal Radiology..
• Luu, C. A., Larson, E., Rankin, T. M., Pappalardo, J. L., Slepian, M. J., & Armstrong, D. G. (2016). Plantar Fat Grafting and Tendon Balancing for the Diabetic Foot Ulcer in Remission. Plastic and reconstructive surgery. Global open, 4(7), e810.
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  We report on the use of free fat grafting as a means of redistributing normal and shear stress after healing of plantar diabetic foot wounds. Although fat augmentation (lipofilling) has been described previously as an approach to supplement defects and prevent atrophy, including use as an adjunct to wound healing and to mitigate pain in the foot, we are unaware of any reports in the medical literature that have described its use in the high-risk diabetic foot in remission. An active 37-year-old man with type 2 diabetes and neuropathy presented with gangrene of his fifth ray, which was amputated. He subsequently developed a chronic styloid process ulceration that progressed despite treatment. We performed a tibialis anterior tendon transfer and total contact casting. He went on to heal but with residual fat pad atrophy and recalcitrant preulcerative lesions. We then used autologous fat grafting for the plantar atrophy. The patient was able to successfully transition to normal shoe gear after 4 weeks with successful engraftment without complication or recurrence of the wound at 6 weeks. This therapy may provide a promising adjunct to increase ulcer-free days to the patient in diabetic foot remission.
• Rose, J., Giovinco, N., Najafi, B., Pappalardo, J., & Armstrong, D. G. (2014). Split Thickness Skin Grafting the High Risk Diabetic Foot. Journal of Vascular Surgery, 59(6), 1657-63.
• Pappalardo, J. (2013). Split Thickness Grafts in High-Risk Extremity Wounds: Helpful or Heretical? . Journal of Vascular Surgery.
• Pappalardo, J., Armstrong, D. G., & Perry, D. (2013). A 10 Step Guide to Applying Split Thickness Skin Grafts. Podiatry Today, 26(3), 74-78.
• Pappalardo, J., Plemmons, B., & Armstrong, D. G. (2013). Wound Healing Simplification: A Vertical and Horizonal Strategy Illustrated. Journal of Wound Technology, 19, 38-40.
• Pappalardo, J., & Fitzgerald, R. (2010). Utilization of Advanced Modalities in the Management of Diabetic Charcot Neuroarthropathy. Journal of Diabetes Science and Technology, 4(5), 1114-20.

Presentations

• Pappalardo, J. (2019, February 2019). Roundtable: Obtaining a DPM degreee. 2019 Pizza with a Professional. University of Arizona, Tucson Arizona: University of Arizona Pre-Health Professions Advising Center.
• Pappalardo, J. (2019, January). “ Emerging Concepts in Diabetic Limb Salvage “. Department of Surgery Grand Rounds. Tucson, AZ: University of Arizona College of Medicine Tucson.
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  1/2/2019
• Pappalardo, J. (2019, October). Diabetic Foot Wounds.. Department of Surgery Vascular Conference. Tucson, Arizona: University of Arizona.
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  10/25/2019
• Pappalardo, J. (2018, September 28, 2018). Current Concepts in Management of the Diabetic Foot. Vascular Surgery Teaching Conference. University of Arizona, Tucson, Arizona.
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  Vascular Surgery Teaching ConferenceCME Credit Provided by The University of Arizona College of Medicine – TucsonLecture topic: Current Concepts in Management of the Diabetic FootPresenter/Moderator: Jennifer Pappalardo, DPMDate: September 28, 20187am Sarver Heart Conference Room 4137Outcome Objectives: 1. How to assess a diabetic foot ulcer2. How to decide on appropriate wound care3. When to use advanced tissue modalities
• Pappalardo, J. (2014, August). Porcine Bladder Matrix Use and Indications. Las Vegas, NV.
• Pappalardo, J. (2014, January). Porcine Bladder Matrix for High Risk Diabetic Wounds. Seattle, WA.
• Pappalardo, J. (2014, March). Review of Extracellular Matrix Bioengineered Tissues: Uses and Indications. Tucson, AZ.
• Pappalardo, J. (2013, June). Foot-In Wallet Disease: Tripped Up By “Cost Saving” Reductions. Tucson, AZ.
• Pappalardo, J. (2013, September). Split Thickness Skin Grafting in High Risk Diabetic Foot: Healing or Heresy?. Western Vascular Society Poster Presentation. Fiberta, Canada.
• Pappalardo, J. (2012, February). Current Topics: Antibiosis in Podiatric Medicine and Surgery. North Chicago, IL.
• Pappalardo, J. (2012, July). Diagnosis and Treatment of Diabetic Infected Foot Wounds. Tucson, AZ.
• Pappalardo, J. (2012, March). Surgical Complications Lecture. Elk Grove Village IL.
• Pappalardo, J. (2012, May). Pilon Fractures: Evaluation and Treatment in Active Duty Military. Great Lakes, IL.
• Pappalardo, J. (2012, October). Platelet Rich Plasma in Chronic Wounds. Tucson, AZ.
• Pappalardo, J. (2011, March). Gas Gangrene: Treatment Protocols. Worcester, MA.
• Pappalardo, J. (2011, May). Compartment Syndrome: Evaluation and Treatment. Worcester, MA.
• Pappalardo, J. (2010, August). Use of Skin Flaps in Podiatric Medicine. Worcester, MA.
• Pappalardo, J. (2008, March). The New Podiatric Medical Residency Model. ACFAS 66th Annual Scientific Conference Poster Exhibitor. Long Beach, CA.