Dr. Napolitano 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 article was accepted into a global publishing competition on Clinical Applications and Benefits Using Closed-Incision Negative Pressure Therapy (ciNPT) for Incision and Surrounding Soft Tissue Management. 

A closed-incision negative pressure therapy (ciNPT) system is a novel system, including novel foam dressings and a negative pressure therapy unit, which can be used on closed, surgical incisions (closed incisional negative pressure therapy).

To encourage continued research and knowledge sharing focused on recent advances in Closed-Incisional Negative Pressure Therapy (ciNPT), the competition required the following:

  • Case reports and case series that explore and document clinical results of ciNPT using novel dressings
  • Original articles analyzing ciNPT using novel dressings on clinical efficacy, length-of-stay, patient comfort and patient compliance
  • Technical reports outlining and evaluating procedural experience and practice knowledge using ciNPT technology with novel dressings

To foster educational awareness, our goal is to share the results with the broad surgical community worldwide. To encourage dissemination, all published materials will be Open Access and indexed with PubMed Central.


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.

Click the link below to read the article:


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