April 2017

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Cover Story

From prints to prison: Forensic podiatry and gait analysis gain ground

Increasingly, lower extremity experts are being called on to assist with crime scene investigations by analyzing footprints, shoe prints, and the gait patterns of shadowy figures on security videos. For members of this fledgling field, as Sherlock Holmes famously said, the game is afoot.

By Shalmali Pal

Editor Message

Out on a limb: Workload roulette in the NFL

A recent study reported that National Football League (NFL) running backs with more than 300 carries in a season are not more likely to miss time with an injury the following season than those with consider­ably fewer carries. For fantasy football players, this is great news. But for sports medicine experts, it’s a reminder that injury risk rarely can be boiled down to a single parameter.

Jordana Bieze Foster, Editor

2017 IOC World Congress

Many sports, one goal:

Joining forces for injury prevention

Athletes in all sports—from gymnastics to volleyball to running—struggle with injuries, and that means injury prevention is top of mind for the global community of sports medicine researchers and clinicians. In March, those experts convened in Monaco at the IOC World Conference on Prevention of Injury and Illness in Sport to develop strategies for taking sports injury prevention to the next level. LER ’s exclusive coverage of this event focuses on lower extremity injuries, from ankle sprains to hamstring strains.

All articles by Jordana Bieze Foster

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Protocol helps improve TKA outcomes, cut costs

A multidisciplinary joint replacement program is improving patient outcomes, decreasing complications, and shortening hospital stays, which helps to lessen clinical anguish following total knee arthroplasty as well as the financial burden on patients and the healthcare system.

By Katie Mullen, SPT; Jon R. Cook, PT, DPT; Meghan Warren, PT, MPH, PhD; and Tarang Jain, PT, PhD, DPT

Metatarsal morphology and injury risk in runners

Although it has not been shown to be a risk factor for stress fracture in traditional running, the presence of Morton’s foot (a second metatarsal longer than the first) alters running mechanics in ways that may exacerbate the risks of forefoot injury associated with alternative running styles.

By Brian E Stoltenberg, DPT, OCS, CSCS; and Donald L Goss, PT, PhD, OCS, ATC

The troublesome triad of diabetic ulcer healing

Uncontrolled deformity, deep infection, and ischemia-hypoxia make up the troublesome triad of confounders associated with healing challenges in patients with diabetic foot ulcers. Clinical examination and intervention in nonhealing patients should focus on these three elements.

By Anna Maria M. Tan, DPM; Michael B. Strauss, MD; and Lientra Q. Lu, BS   


In the Moment: Rehabilitation

Protecting hip implants: Gait patterns help predict wear rates

Patient-specific implant wear rates following total hip arthroplasty (THA) are more strongly associated with gait patterns than component positioning, according to research from Chicago that suggests implant wear could be reduced with the use of predictive wear models.

By Katie Bell

Hallux valgus angle and pain improve after year of custom toe separator use

A custom-molded silicone toe separator can help reduce hallux valgus angle and pain in patients with hallux valgus, according to research from Thailand.

By Jordana Bieze Foster


Even in older women, mechanical loading leads to Achilles adaptation

Fourteen weeks of mechanical loading is associated with Achilles tendon adaptations in senior women, according to German findings suggesting older age should not exclude patients from exercise-based Achilles rehabilitation.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

BOC manager, sales team win Stevies

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) in March announced its receipt of awards in two categories at the 11th annual Stevie Awards gala, held February 24 in Las Vegas by the Fairfax, VA-based Stevie Awards group.

Sigvaris marks North American expansion

Peachtree City, GA-based Sigvaris in March celebrated the grand opening of its expansion for its North American headquarters with a ribbon cutting ceremony that included local city officials, employees, and members of the company’s founding family.

allardafo.com goes live, tells ToeOff story

Rockaway, NJ-based Allard USA announced in late March that its new website, allardafo.com, is live. The site features the history of its ToeOff ankle foot orthosis, a “40 Reasons” section detailing the company’s process from manufacturing to social responsibility, and links to Allard suppliers worldwide.

DonJoy introduces TriFit OA knee brace

San Diego-based DJO Global in March launched the OA Reaction TriFit Knee brace from DonJoy, the company’s latest osteoarthritis (OA) knee brace designed to provide pain relief to those with moderate to severe knee OA.

Paceline buys Orthomerica’s Seal PVA biz

Matthews, NC-based Paceline in late March acquired Orlando, FL-based Orthomerica’s Seal PVA business.

ABC funds journal issue for AOPA papers

The Washington, DC-based American Orthotic & Prosthetic Association (AOPA) announced in March that the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) will sponsor the 2017 AOPA World Congress Presidential Papers, the top 10 clinical education submissions to the congress of original research backed by a full manuscript.

Ottobock acquires BionX active ankle

Austin, TX-based Ottobock HealthCare in March acquired prosthetic foot and ankle maker BionX Medical Technologies, headquartered in Boston, MA.

KD, OREF award orthopedic researchers

Kappa Delta Sorority and the Orthopaedic Research and Education Foundation (OREF) in March at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) presented four awards of $20,000 each to scientists for conducting outstanding musculoskeletal research. The meeting took place March 14-18 in San Diego.

HHS data validate KOOS JR. survey

Investigators from the Hospital for Special Surgery (HSS) on March 14 presented research at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) in San Diego that confirms a seven-question survey developed at the Manhattan-based center is a valid and efficient tool for assessing patient outcomes following revision total knee replacement.

Curbell aids high school prosthetic project

Orchard Park, NY-based Curbell Plastics in March provided technical expertise and donated material to students in the Technology and Engineering (STEM) Program at Wilson High School in West Lawn, PA.

PCL brace reduces peak PFJ pressures

The Journal of Experimental Orthopaedics on March 31 published a study of Foothill Ranch, CA-based Össur’s Rebound PCL (posterior cruciate ligament) brace, showing the device significantly reduced peak patello­femoral joint (PFJ) pressures in in PCL-deficient knees compared with no brace.

Tekscan launches gait analysis system

Boston, MA-based Tekscan on April 28 introduced the worldwide release of its Strideway gait analysis system. The modular pressure mea­surement system provides kinetic, temporal, and spatial gait parameters, as well pressure and force data.


Custom-made Edser eFlops

Edser unveils eFlops, a new line of the company’s premium custom-made Flopthotics flip flops, which combine fashion and foot health. Designed and produced in conjunction with footwear specialists in Spain, eFlops are the first of a range of sophisticated custom…

Toesocks for Athletes

Injinji now offers the Ultra Compression Toesock specifically designed for athletes. The patented five-toe socks combine a seamless, lightweight design with compression technology to increase comfort and reduce athletes’ recovery time.

Baby Foot Exfoliating Peel

Described as an add-on treatment, Baby Foot is an exfoliating foot peel designed to leave cracked, painful feet feeling soft, supple, and renewed. Baby Foot is powered by 17 natural extracts and glycolic and lactic acids, which gently remove dead skin.

BRD Sport Achilles Brace

BRD Sport introduces its newly improved Achilles Ankle Brace. The brace is now easier to apply. Simply slip the brace on the foot, without painful pulling and tugging. The BRD Sport Achilles Ankle Brace offers a comfortable knitted support with an anatomically contoured silicone…

Kinesiology Taping Socks

Reset Sport Kinesiology Taping Socks are designed to facilitate recovery from foot and ankle injuries and aid in their prevention. By simulating a proprioceptive neuromuscular strap, the socks provide external support without restricting normal range of motion.

Pedoped Insole for Load Analysis

novel GmbH introduces the Pedoped insole, the latest advancement in its load measuring technology. The product features one large sensor that covers the entire surface of the foot to accurately measure the normal ground reaction force under the foot independent of…

FasciaFix Sleeve

The PediFix Footcare Company offers the FasciaFix Plantar Fasciitis Relief Sleeve, a new compression sleeve to help relieve heel and arch pain related to plantar fasciitis. By compressing and supporting the arch in two directions, the new plantar fasciitis compression…

Updated Custom Diabetic Inserts

Apex Foot Health Industries reintroduces Apex Custom Diabetic Inserts (CDI) with an entirely new ScanCast 3D technology application to scan and submit orders. Apex ScanCast 3D orders are fabricated to precisely fit Apex footwear, as well as other brands, with…

Noraxon Ninox Camera System

Noraxon USA has released the Ninox camera system, a port­able, USB-powered, high-definition camera system with integrated LED light for capturing and analyzing human movement data. The camera system is designed to give biomechanics researchers…

Navy Midtown Socks for Men

The Sigvaris Midtown Microfiber compression collection for men now includes navy socks in two compression levels, 15-20 mm Hg and 20-30 mm Hg. The compression socks are designed to be comfortable and durable while providing therapeutic relief.

Astro XO Exoskeleton

Astro Medical introduces the Astro XO flexible exoskeleton designed to rehabilitate ankle power and forward propulsion to treat soft tissue and joint disorders (such as plantar fasciitis and Achilles tendinitis) that affect gait.

Partial Foot Prosthesis

New from Custom Composite Manufacturing is the Partial Foot Prosthesis, specifically designed to accommodate the unique needs of Chopart and Lisfranc (transmetatarsal) amputees. The Partial Foot Prosthesis is designed to help restore normal foot biomechanics and facilitate the…