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

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Feature Articles

Movements Count: 5 Minutes of Exercise Per Day Could Lower Blood Pressure

Movements Count: 5 Minutes of Exercise Per Day Could Lower Blood Pressure

In free-living environments, more time spent in exercise-like activities has the strongest association with blood pressure (BP), and even small changes to daily movement patterns can elicit clinically meaningful improvements. Multinational researchers from the ProPASS Consortium (Prospective Physical Activity, Sitting and Sleep) used data from thigh-worn accelerometers and BP measurements of…

Minimally Invasive Bunion Surgery for Hallux Valgus: A Surgical Technique

Minimally Invasive Bunion Surgery for Hallux Valgus: A Surgical Technique

Hallux valgus (HV) is a common forefoot problem with a reported prevalence of 23% in adults age 18–65 years and 35.7% in adults aged over 65 years. More than a hundred procedures were described to treat HV deformity. Traditionally, surgical treatment of HV included open osteotomies and soft tissue procedures. In recent years, minimally invasive surgery…

By Erdi Özdemir, MD, and Michael Aynardi, MD

Computer-Aided Gait Analysis Can “See” Blind Gait

Computer-Aided Gait Analysis Can “See” Blind Gait

Imagine for a moment, you were cast into a world of uncertainty by the loss of sight. Your relationship with all you know is forever changed. We have “tells” to these challenges and learn ways of adapting to our new circumstances. We do things slower, with less confidence, and rely on our other senses. We listen for auditory cues, but perhaps the sense we lean on…

By Jay Segel, DPM; Sally Crawford, MS; Ronald Sherman, DPM, MBA

Training on Unstable Surfaces Improves Balance Ability in Older Adults

Training on Unstable Surfaces Improves Balance Ability in Older Adults

Posterior malleolus fractures have been associated with ankle instability because the ligament pull that follows such fractures can lead to movement of the fracture fragment and consequently disrupt the weight-bearing surface’s integrity. Falls are a multifactorial phenomenon and a cause of increasing rates of mortality and morbidity in older adults, and are significant contributors to disability or early institutionalization.

By Alex Rizzato, Matteo Bozzato, Luca Rotundo, Giuseppe Zullo, Giuseppe De Vito, Antonio Paoli, and Giuseppe Marcolin

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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

Rich Dubin

Publisher and Chief Executive Officer

Featured Products

Lower Extremity Review

Red Light Therapy for Accelerated Healing, Recovery

Red Light Therapy for Accelerated Healing, Recovery

Recharge Health’s FlexBeam portable, high-powered red light therapy device is designed to accelerate healing and recovery. Combining advanced infrared technology with ergonomic design, FlexBeam delivers targeted therapy for pain relief, inflammation reduction, and...

Adult Independence Walker

Adult Independence Walker

The Independence Stand-Up Walker™ is designed with joy and change in mind. To accomplish this, the medical device has a tubular frame for easy transport and storage with a vertically and horizontally tapered pole (narrower at the top, both in width and depth), which...

Stand-on-Command Mobility Rider

Stand-on-Command Mobility Rider

VertaCat is a new all-terrain mobility rider that lifts people with limited mobility into a standing position, enabling challenged walkers to play golf and other sports again. Made in the United States, VertaCat’s electric stand-up assist system provides padded chest,...

Revitalign Gaia Sneakers for Men

Revitalign Gaia Sneakers for Men

The Revitalign® Gaia athletic walking shoe for men is expertly crafted to deliver unmatched comfort, stability, and orthotic support for active lifestyles. The sneaker is designed to meet the diverse needs of men seeking style, foot health, and performance in 1 shoe....

Enovis Adds EMPOWR™ Cones to EMPOWR Revision Knee™ System

Enovis Adds EMPOWR™ Cones to EMPOWR Revision Knee™ System

Enovis™ has redefined revision knee surgery by expanding its EMPOWR Revision Knee™ system to include EMPOWR™ Cones. The addition of the stackable tibial, femoral, and diaphyseal cones increases options for treating bone defects, creating a comprehensive portfolio to...

Golf Training Insoles

Golf Training Insoles

Continental’s BAL.ON Smart Kit provides golfers with real-time swing analysis and coaching using 2mm-thin pressure-sensing insoles and an artificial intelligence (AI)–powered smartphone app, to efficiently guide users to a better swing and lower scores. The kit...

Energy Boosting Infrared Socks

Energy Boosting Infrared Socks

The Cadense Energy Boost Performance sock is made using Hologenix’s CELLIANT proprietary minerals. When embedded into socks, CELLIANT captures body heat and converts it into infrared (IR) energy—to increase local circulation and cellular oxygenation—which is reflected...

Genium X4 Microprocessor Knee

Genium X4 Microprocessor Knee

Genium X4 is the next generation of Ottobock’s Genium family of prosthetic microprocessor knees (MPKs). Building on the proven Optimized Physiological Gait (OPG) technology and rugged durability of its predecessors, the MPK offers improvements in user experience...

Heel Revival Cream

Heel Revival Cream

In honor of Mentholatum’s 135th anniversary, the company announced the launch of its Heel Revival Cream. Developed in the FootHealth™ Innovation Lab, the cream features a groundbreaking patented formula that penetrates deep into the skin to target and eliminate fungal...

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