Closed Incision Negative Pressure Therapy in Plantar Fibroma Excision Surgery

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 3 patients that underwent wide en bloc plantar fibroma excision surgery for symptomatic lesions. The patients were aged 56, 58, and 62 years old, and comorbidities included hypertension, diabetes, obesity, and high cholesterol. Surgery was completed without complication. The incisions were managed with closed incision negative pressure therapy* for one week at -125 mmHg. Upon dressing takedown, the incisions were observed to be without swelling or erythema. Sutures remained in place for 3 weeks before removal. All 3 patients had comorbidities that put them at higher risk for plantar fibroma surgical site breakdown, yet demonstrated favorable outcomes without significant wound healing complications.

Trademarked Items (if applicable): *PREVENA™ Therapy (KCI, now part of 3M Company; San Antonio, TX)

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