LER Cover Story:
Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments
Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
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Feature Articles
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
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
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
AAOS Updates Guideline to Prevent THA and TKA Periprosthetic Joint Infection in Patients Undergoing Dental Procedures
The American Academy of Orthopaedic Surgeons(AAOS) issued an updated Clinical Practice Guideline (CPG) for the Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection (PJI) in Patients Undergoing Dental Procedures, which replaces the previous guideline from 2012. The CPG supports patients who are scheduled for or have…
Cell Phone-Related Lower Extremity Injuries While In or On a Motor Vehicle
Background: In 2023, 97% of United States (US) adults reported that they owned a cell phone. Use of cell phones while driving may result in crashes and injuries. This study characterized cell phone-related lower extremity injuries while in or on a motor vehicle that were treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
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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ShortTakes From the Literature
Resistance Training & High Protein Diet Impacts Vascular & Muscle Health of Elderly Women
Resistance training is a well-known exercise therapy for preventing and...
Risk & Progression of HV Angle in Elite Adolescent Dancers
No previous studies have linked the progression of hallux valgus (HV) with...
Effects of FES On Cognition Rate & Gait in Neurological Patients
People with neurological disorders and foot drop may suffer from...
Postoperative Shoes or Walker Boots: Study Compares 2 Types of Orthoses
The choice of an appropriate type of orthosis depends on the patient’s...
Static Stretching Does Not Appear to Influence Ankle Proprioception
Ankle joint-position sense (A-JPS) is the body’s awareness of the ankle’s...
MRI vs SPECT-CT in Diagnosing Fracture-Related Talar Osteochondral Lesions
Ankle fractures are common, and although treatment is generally successful, up...
The Effects of Exergaming in Improving Physical Health and Well-Being
Researchers in Singapore explored how different exergaming modes affect...
Growth in Use of Electric Biking Linked to Increase in Injury
Electric biking (E-biking) has been growing in popularity. High-impact...
A Foot Forward for Optimum Health
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Industry News & Updates
Evaluating FAST Walk System for Neuromodulation-Assisted Gait Recovery in Chronic Stroke
In an effort to address the ongoing challenge of gait impairment after stroke,...
Zimmerman Shoes Acquires Markell Shoe Company
Zimmerman Shoes, Orwigsburg, Pennsylvania, the United States’ oldest...
AI-Assisted Model Helps Improve Prediction of Worsening Knee OA
An artificial intelligence (AI)-assisted model that combines a patient’s MRI...
New Algorithm Improves Fitness Trackers for People with Obesity
For those living with obesity, who are known to exhibit differences in walking...
THA Patients Under 65 Have Low Revision Rates at 8 Years
With an increase in total hip arthroplasty (THA) procedures being performed on younger patients,...
TJA Caseloads Need to Double to Meet Demand by 2050
A new study presented at the 2023 AAOS Annual Meeting found that, based on projection models,...
Older Patients Exhibit Better Pain Relief, QOL After TKA
Patients aged 55 and younger were found to have worse pain, function, and quality of life (QOL)...
LIMB PRESERVATION AT STUDENT-LED FREE CLINIC
Uninsured patients with diabetes are at high risk for amputations. This case series illustrates...
ALPS Seeks Student Chapter Members
The American Limb Preservation Society (ALPS) serves as an interdisciplinary bridge between varied...
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
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
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
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 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
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...
Socks with Infrared Technology
Hologenix, a pioneer in textile innovation and the company behind CELLIANT® infrared (IR) materials, has linked up with Cadense, an adaptive shoe company, to debut the Cadense Energy Boost Performance sock. When embedded into socks, CELLIANT captures body heat and...
Everyday Lipedema Management Leggings
The Marena Group’s innovative Everyday Early-State and Mid-State Management Leggings compression garments are designed for use by patients suffering from lipedema. This collection of leggings is designed to aid in the daily management of early-state and...
Revitalign Wrigley High Top
The Revitalign® Wrigley High Top casual sneaker blends functionality with a contemporary design, tailored for a youthful, style-conscious audience. Available in a lace-up/zip-up style, this chic suede sneaker offers a customized fit that prioritizes everyday comfort....
Wearable Electric Stimulation Leggings
WE-STIM (Wearable Electric Stimulation) harvests natural electric energy generated from body movement. This harvested energy is then delivered to specific targets on the body using special conductive fibers designed inside the clothing. By simply wearing and moving, a...


























