November 2020

Click on image to download the issue in PDF format

Cover Story


Clinical Applications of Custom 3D Printed Implants in Complex Lower Extremity Reconstruction
Clinical Applications of Custom 3D Printed Implants in Complex Lower Extremity Reconstruction
The authors present four cases of complex lower extremity reconstruction involving segmental bone loss and deformity – failed total ankle arthroplasty, talus avascular necrosis, ballistic trauma, and nonunion of a tibial osteotomy. By Rishin J. Kadakia, MD, Colleen M. Wixted, Nicholas B. Allen, Andrew E. Hanselman, MD, and Samuel B. Adams, MD

Editorial Appreciation


Editorial Appreciation: 2020: The Year That Was!
Editorial Appreciation: 2020: The Year That Was!
Some years it’s hard to say good-bye…and then there’s 2020. We’re sure we’re not the only ones happy to see it in the rearview mirror. But to just drive away is to ignore the words of Socrates, who rightfully said… By Janice T. Radak, Editor, and Rich Dubin, Publisher

Letter to the Editor


Letter to Editor: Transverse Arch Importance Overstated
Letter to Editor: Transverse Arch Importance Overstated
I write in response to the September 2020 LER article, “Overlooked Arch in the Foot Is Key to its Evolution and Function,” by William Weir, which discusses the article, “Stiffness of the Human Foot and Evolution of the Transverse Arch,” by Venkadesan et al, published in Nature in early 2020. By Kevin A. Kirby, DPM

Postcards From Main Street


Postcards From Main Street: Missives From the 3D Front Lines
Postcards From Main Street: Missives From the 3D Front Lines
3D printing has been making countless inroads into everyday work routines.  Here, O&P professionals share their use of the technology. As this month’s cover conveys, three-dimensional (3D) printing has created breakthrough opportunities across the spectrum of lower extremity challenges. By Janice T. Radak and Friends

Hightlights from SAWC


Hematoma Algorithm May Improve Outcomes
Researchers at the Kent State University College of Podiatric Medicine observed a specific subset of patients was frequently coming to their clinic with complications after mismanagement or misdiagnosis of initial blunt trauma soft tissue injuries to the lower extremity.
Measuring Topical Oxygen Therapy Result with NIRS
Chronic wounds are defined as those not proceeding through the orderly phase of tissue repair with 30 days; incidence of these wounds continue to rise, creating a burden not only on patients, but the healthcare system as well.
Gellable Fiber Dressing in Chronic Venous Leg Ulcers
This investigational product case series looked the use of gellable fiber dressing technology in the setting of heavily exudating venous leg wounds in a series of 5 patients. Exudate management is key to healing this type of ulcer.

LER Pediatrics


LER Pediatrics: Can’t Vs Doesn’t Understand: Coaching  Toward Cognitive Abilities
LER Pediatrics: Can’t Vs Doesn’t Understand: Coaching Toward Cognitive Abilities
Clinicians deal with clients and patients with a range of abilities. This author provides expert guidance on meeting patients and clients where they are to succeed in communicating. By Eric Chessen, M.S.

Patient Guidance


Patient Guidance: Three Easy Steps to Eliminating Heel Pain Without Visiting a Doctor
Patient Guidance: Three Easy Steps to Eliminating Heel Pain Without Visiting a Doctor
By far, the most common cause of heel pain is a condition called plantar fasciitis. This condition is an injury to a ligament on the bottom of the foot called the plantar fascia. This ligament runs the length of the foot from the heel bone to the base of the toes. By Paul J Betschart, DPM, ...

COVID Update


Hydroxychloroquine Does Not Prevent Death in COVID-19
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of COVID-19, emerged from a zoonotic source in China in late 2019. Its transmission has been ineffectively controlled and the world has been immersed in a COVID-19 pandemic since early 1st quarter of 2020.

From the Literature


3D Printed Insoles Offers New Hope for Patients with Diabetes
3D Printed Insoles Offers New Hope for Patients with Diabetes
Scientists from Staffordshire University, England, claim that their new 3D-printed insoles can improve the foot health of people suffering with diabetes. Their study is said to present the first quantitative evidence in support of optimized cushioning in diabetic footwear as…
Low Energy Increases Fall Risk in Older Adults
Declines in feelings of energy can lead to balance problems in older adults, according to Clarkson University research published in the journal Physical & Occupational Therapy in Geriatrics. “We wanted to see whether increases in feelings of fatigue or…
Don’t Try This for Ankle Stability
Don’t Try This for Ankle Stability
While ankle sprain is perhaps the most common of sporting injuries, there remains no one-size-fits-all solution. But there is one solution that’s losing ground based on new evidence from the Institute of Motion Analysis & Research (IMAR) at the University of Dundee in the United Kingdom.

Industry News & Updates


Featured Products


SKINEEZ HYDRATING DIABETIC SOCKS
SKINEEZ HYDRATING DIABETIC SOCKS
KISS ANKLE SAFETY AND REHAB SYSTEMS
KISS ANKLE SAFETY AND REHAB SYSTEMS
SENSORIA SMART KNEE BAND: KNEE REHAB IOT PATIENT JOURNEY
SENSORIA SMART KNEE BAND: KNEE REHAB IOT PATIENT JOURNEY
BIONESS L100 GO SYSTEM FES
BIONESS L100 GO SYSTEM FES
NURVV COACHING APP AND INSOLES
NURVV COACHING APP AND INSOLES
WEARABLE MOVEMENT-ANALYSIS SOLUTION
WEARABLE MOVEMENT-ANALYSIS SOLUTION
“CAN YOU ADJUST?” REVOFIT™ EDUCATIONAL SERIES OFFERS 2 NEW COURSES
“CAN YOU ADJUST?” REVOFIT™ EDUCATIONAL SERIES OFFERS 2 NEW COURSES
STRIDE IN STYLE WITH SOCKET SOCKS
STRIDE IN STYLE WITH SOCKET SOCKS