LER Cover Story:
lerEXPO Highlights: Fibular Nails–Fad or New Standard?
This article synthesizes the key findings, surgical techniques, and clinical insights from a lerEXPO’s 2025 Gait Keepers Journal Club regarding the use of intramedullary fibular nails for distal fibula fractures. The primary focus is on a retrospective multi-center study published in the Journal of Foot & Ankle Surgery (JFAS) in 2023, which represents the largest cohort of its kind to date.
By Brian Burgess, DPM with Brad Abicht, DPM, FACFAS and Jeff Dikis, DPM
Advertisement
lerEXPO Upcoming Events
Feature Articles
Targeted Protection Against Friction and Shear Forces
Diabetic foot ulcers and other skin conditions such as blisters, calluses, and general skin irritation pose significant health challenges. These issues often stem from excessive friction and shear forces acting on vulnerable areas of the skin. Individuals who rely on specialized footwear, orthopedic braces and prosthetic devices are particularly susceptible to…
Sensory Input is Needed for Motor Output: The Type of Self-Work for the Best Foot Work Matters
I recently explored and explained the use of mobilization and tactile stimulation (MTS) in the previous article titled, “Sensory Input is Needed for Motor Output–The Foot of the Matter.” In this article, I focus on self-mobilization of the foot and ankle to promote self-efficacy for individuals with lower extremity (LE) sensory impairment resulting in…
By Dr. Jennifaye V. Brown
Pedorthic Toolbox
Consumers of high-end running/walk footwear products are coming to you not only to fit them with footwear, but also to solve problems and enhance their performance, prevent injuries and enhance wellness. Some retail shoe stores, and certainly online direct purchases, do not offer the expertise that is required to provide the solutions the consumer is seeking to justify…
By Teresa Alpert
A New Paradigm in the Doctor
The doctor-patient relationship is dead, at least in the format we were all taught in school and during training. Today, there’s a moment, when you walk into an exam room that just didn’t exist 20 years ago. It’s no longer just you and the patient. There’s a third presence sitting between you. It is the electronic health record (EHR), that often-maligned party…
By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry
Emerging Developments in AFOs: Making Carbon Composite AFOs Work in Podiatric Practice Part III
Advances in ankle-foot orthoses (AFOs) are revolutionizing how podiatrists, physical therapists and O&P clinicians support lower-limb mobility and rehabilitation. In this 3-part series, we explore the latest evidence, cutting-edge materials, and innovative design strategies that are shaping the future of AFOs. This short series offers a look at how today’s breakthroughs are improving function, comfort and compliancy in the lower extremity world.
By Keith Loria
lerEXPO Highlights: 1st Ray Shortening and Elevation Post-Lapidus, How to Address It – A Surgeon’s Guide
Surgery, especially in the world of foot and ankle reconstruction, is like solving a complex, 3-dimensional puzzle. Our goal is to take a structure that has adapted over a lifetime into a painful position and restore its original, functional architecture. One of the most powerful tools we have for this is the Lapidus procedure, which corrects a complex bunion deformity…
By Marie Keplinger, DPM, FACFAS
Trending Now
Lower Extremity Review
ShortTakes From the Literature
Function and Injury Risk in Adolescent Female Volleyball Players with and without CAI
Chronic ankle instability (CAI), a prevalent injury among female volleyball...
Return to Play After Ankle Sprains and Achilles Tendon Ruptures in Tennis
Ankle sprains and acute Achilles tendon ruptures are common injuries among...
The Efficacy of HILT and Stretching Exercises for Plantar Fasciitis Treatment
Plantar fasciitis causes heel pain and functional limitations; conservative...
Device Variability in Plantar Pressure Thresholds and Diabetic Foot Care Decisions
Plantar pressure measurement is used to identify areas of high mechanical...
Comparison of Single Use and Negative Pressure Wound Therapy Devices in LEUs
Annually, 49 million people worldwide are impacted by lower extremity ulcers...
Myofascial Techniques ROM and Flat Foot Efficiency in Adults
Symptomatic flat foot is quite a common pathology in adults. Myofascial...
Botulinum Toxin Type A in the Management of Plantar Fasciitis
Plantar fasciitis is a prevalent cause of heel pain in adults, particularly...
Weightlifting-Associated Lower Extremity Injuries
Weightlifting continues to increase in popularity due to its numerous benefits...
A Foot Forward for Optimum Health
Sensory Input is Needed for Motor Output: The Type of Self-Work for the Best Foot Work Matters
I recently explored and explained the use of mobilization and tactile stimulation (MTS) in the previous article titled, “Sensory Input is Needed for Motor Output–The Foot of the Matter.” In this article, I focus on self-mobilization of the foot and ankle to promote self-efficacy for individuals with lower extremity (LE) sensory impairment resulting in…
By Dr. Jennifaye V. Brown
Industry News & Updates
Trulife Receives 2025 Hanger Partner Award for Operational Performance
Trulife has been awarded the 2025 Hanger Partner Award for Operational...
Inform Diagnostics Completes Acquisition of Bako Diagnostics
Inform Diagnostics, a Fulgent Genetics company, announced that the acquisition...
Study Reveals Injury Patterns Based on Gender, Age
One of the largest MRI-based studies comparing knee injuries between men and...
Smart Insoles Designed to Prevent Falls
A University of Bristol, England, engineer has developed a smart shoe insole...
Advertisement
GLP1 Receptor Agonist Use Is Associated with Increased Risk of Osteoporosis, Gout, and Osteomalacia in Adults with Type 2 Diabetes and Obesity
INTRODUCTION: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have become central to the...
Robotic-Assisted Total Knee Arthroplasty is Associated with Improved Quality of Life and Increased Patient Satisfaction One Year after Surgery
INTRODUCTION: Approximately 15–20% of patients undergoing conventional total knee arthroplasty...
Early Sports Specialization Is Associated with Increased Orthopaedic Injury Incidence in NFL Athletes
INTRODUCTION: Single-sport specialization during adolescence has been increasingly adopted by...
E-Bike Orthopaedic Injuries Amongst Pediatric and Adolescent Patients at a Level I Trauma Center
INTRODUCTION: Electronic bicycle (E-bike) use is on the rise in the United States. E-bikes are a...
AAOS Highlights New AJRR Data
The American Academy of Orthopaedic Surgeons (AAOS) Registry Program highlighted new findings from...
A Message From the Publisher
Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible
Rich Dubin
Publisher and Chief Executive Officer
Featured Products
Lower Extremity Review
Wearable, Portable LED Pain Relief
The Recovery Loop™ is a wearable, battery-operated, rechargeable device designed to soothe tired muscles, relieve aches, and support the body’s natural recovery process. By harnessing the company’s patented MultiWave® technology, the device delivers multiple...
Professional Lower-Limb Compression Therapy at Home
Built on Professional Sequential Air Compression Technology, the QN-071A features 4 independent air chambers that rhythmically inflate from foot to thigh. This wave-like compression mimics the body’s natural muscle pump, enhancing circulation, promoting lymphatic...
Flexible Syndesmotic Fixation Device
Stryker’s Synchfix™ EVT is a next-generation flexible syndesmotic fixation device designed to simplify surgical deployment while supporting ankle stabilization in patients with syndesmotic disruptions. Commonly associated with sports trauma and ankle fractures, ankle...
Support for Healthy Toenails
ProNail Complex is a topical mist spray that supports nail appearance, strength, and surface clarity by delivering plant-based oils, vitamins, and antifungal compounds directly to the nail and surrounding skin. The spray disperses ultra-fine particles designed to...
Powered-Ankle Lifestyle Product
The Dephy Sidekick is a new category of bionic footwear designed to help people move farther, longer, and with greater confidence in their everyday lives. Worn at the ankle and integrated into compatible footwear, the Sidekick provides a subtle, responsive boost with...
Foot and Ankle Fixation System Addresses Complex Small Bone Reconstruction
The Brachiator™ Mini-Rail External Fixation System is a platform designed for precise, multi-planar correction, rapid construct assembly, and workflow efficiency for the correction of bone deformities and stabilization of fractures of the foot and ankle. Engineered...
Strategic Protection from Shear Forces
Tamarack Protection Socks utilize GlideWearTM Technology to create a slippery, low-friction zone that protects at-risk areas of the feet from shear forces, which are a major factor responsible for soft tissue damage such as diabetic foot ulcers, calluses, blisters,...
Orthotic-Driven Plush, Suede Boot
The Revitalign® brand recently released the Aspen Fireside. This plush, cozy boot is designed with genuine, water-resistant suede and features an ultra-soft sherpa lining, ensuring that feet remain warm and dry. The style incorporates the Full Contact Comfort®...
3D-Printed Pediatric Supramalleolar Orthosis
Surestep has announced the launch of the SMO3D, a next generation supramalleolar orthosis (SMO) designed to support children with hypotonia and other mobility challenges. Building on Surestep’s clinically trusted, compression-based approach, the SMO3D reimagines this...
Advertisement
