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
Inventor’s CORNER: How I Built That
In the words of Plato, “Necessity is the mother of invention”. This is the story of the CastPack™, a novel and innovative cold therapy device designed to alleviate the suffering caused by the placement of casts. In 2020, like many middle-aged weekend warrior athletes, I jumped into a competitive pick-up game of basketball, without warming up or stretching.
By Joseph Hamad
Riding Mower Injuries Major Cause of Pediatric Limb Loss
Background: Riding lawn mower injuries are the most common cause of major limb loss in young U.S. children. Our study objective was to investigate the circumstances surrounding pediatric riding lawn mower injuries and to identify potential contributing risk factors and behaviors leading to these events.
By Charles A. Jennissen, Treyton D. Krupp, J. Priyanka Vakkalanka, and Pamela J. Hoogerwerf
Lawn Mower Injuries Costly Public Health Concern
A 2018 study from Johns Hopkins Surgery looking at 8 years of data found an average of 6,400 lawn mower injuries per year with an average cost of $37,000 per patient. In an unusually comprehensive analysis of nationwide data, researchers from Johns Hopkins Medicine concluded that the rate of lawn mower injuries persists at close to 6,400 a year, most of them…
Association of Knee and Hip OA with Fall Risk and Fractures
Patients with knee and hip OA frequently have pain, muscle weakness, impaired joint proprioception, and poor balance, which are important risk factors for falls. Falls and osteoarthritis (OA) are major public health problems. The incidence of falls and fractures increases with age, and knee OA and hip OA are also highly prevalent in older populations.
By Youyou Zhang, Xiaoxi Li, Yining Wang, Liru Ge, Faming Pan, Tania Winzenberg, and Guoqi Cai
Treadmill-related Lower Extremity Injuries Treated at United States Emergency Departments
Background: Treadmills are the most popular piece of exercise equipment, with millions of people in the United States (US) using the devices each year. Thousands of people are treated for treadmill-related injuries in the US annually. The objective of this study was to describe treadmill-related lower extremity injuries treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
Strategies to Treat DFUs Complicated by Edema
The management of DFUs complicated by the effects of lower limb edema is clinically challenging, and both conditions can require a multifaceted treatment approach. Lower limb edema is a common comorbidity in those with diabetes and foot ulceration and is linked with increased amputation risk.
By Justine Tansley, MRCPod; Richard Collings, PhD, DSc (Hons); Jennifer Williams, BSc (Hons); and Joanne Paton, PhD, MSc
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ShortTakes From the Literature
Chronic Ankle Instability: Therapeutic Exercise and Data Analysis
A new study from Italy examines individuals with a previous history of acute...
Clubfoot Etiology
Data is derived from a meta-analysis and systematic review of the literature...
AC E-Stim Unit Shows Improvement in DPN
Diabetic peripheral neuropathy (DPN) is a common complication in both Type 1...
Weight Maintenance Possible Without Continued GLP-1 RA Therapy
Objective: The high cost of novel glucagon-like peptide-1 receptor agonist...
Backward Walking As Therapy for Forward Head Posture
The presence of spinal arches is crucial for maintaining good body posture,...
Gout Flare Burden in the United States
Researchers from University of Houston in Texas used an online survey to...
Motor Neurons Positively Stimulated by Life-long Exercise
Exercise preserves neuromuscular function in aging through unknown mechanisms....
D-mannose promotes diabetic wound healing in rats
Diabetic chronic foot ulcers pose a significant therapeutic challenge around...
A Foot Forward for Optimum Health
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Industry News & Updates
Reducing Muscle Spasticity in Incomplete SCI Patients
Electrical stimulation of the spinal cord is a promising strategy for...
Smart Insoles Are a Breakthrough in 3D GRF Estimation
A team of researchers in the United Kingdom has developed a smart insole...
Thai “Exoskeleton Wheelchair” Helps People with Disabilities Sit, Stand, Walk
Associate Professor Ronnapee Chaichaowarat, PhD, faculty of engineering,...
Sensory Neuroprosthesis Aids Stumble Recovery
A sensory neuroprosthesis (SNP) developed by researchers at Case Western...
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Middle School Wrestling Injury Rate Higher Than Previous Reports
Another study from the ACHIEVES project reported at the National Athletic Trainers’ Associations’...
Hematoma Algorithm May Improve Outcomes
Researchers at the Kent State University College of Podiatric Medicine observed a specific subset...
Measuring Topical Oxygen Therapy Result with NIRS
Chronic wounds are defined as those not proceeding through the orderly phase of tissue repair with...
Gellable Fiber Dressing in Chronic Venous Leg Ulcers
This investigational product case series looked the use of gellable fiber dressing technology in...
Collegiate Twirlers Suffer High Rates of Lower Extremity Injuries
Baton twirling, which has been around in some form since military groups first twirled torches and...
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
KT Ice Performance and Recovery Products
The KT Ice series features a range of products to support individuals during their fitness journey. KT TAPE PRO ICE kinesiology tape is engineered to provide flexible and lightweight support during exercise, and it delivers dual-action pain relief by combining the...
Maximum-Cushion, Wicking Socks
OS1st Wicked Comfort® performance socks provide maximum cushion while setting a new benchmark in moisture-wicking and durability. This line of socks debuts the brand’s Dry1st® technology, a groundbreaking moisture management treatment designed to swiftly wick away...
Self-Massage Roller Stick
Physix Sports Gear’s line of self-massaging roller sticks is designed to help athletes work out tightness, relieve soreness, and release and ease difficult knots, tight muscles, shin splints, and even plantar fasciitis. They target trigger points that include leg...
New Low Profile and Arch Support Insoles
Blumaka, a global innovator in performance insoles, expanded its product line to add Low Profile and Arch Support models of its popular Konnect and Comfort insoles. The expansion comes after months of extensive athlete testing. The Comfort line is designed with...
Lisfranc Plating and Screw System
Medline UNITE’s portfolio of midfoot trauma and reconstruction implants has expanded with the addition of a new Lisfranc plating and screw system, the Ancillary Foot Recon Plating System. This plating and screw system offers 18 dual-ray Lisfranc plates that feature...
SYNSYS Microprocessor Full-leg System
The SYNSYS microprocessor full-leg system is designed for low to moderate K3 activity levels. Only SYNSYS’ hydraulic kinetic coupling and hip-knee-ankle triple flexion with 125° degrees knee flexion and 42° ankle range of motion (ROM) allow users to intuitively...
Revitalign’s New Athletic Walking Shoe
Waco Shoe Company has released a new addition to its women’s line: the Revitalign® Gaia athletic walking shoe. The new offering embodies a shift in orthotic design, merging unparalleled comfort with a chic aesthetic. Designed for the dynamic woman on the move, the...
OTC Bioelectric Bandage by Vomaris
Vomaris has launched its US Food & Drug Administration–cleared PowerHeal™ bioelectric bandage for over-the-counter (OTC) use. Foundationally inspired by the body, the technology mimics the electrical energy that skin naturally creates and uses to heal itself. This...
Tensioning Instrument for Hip Replacements
The HIPTURN™ (Tension Under ReductioN) device gives surgeons the ability to trial different offset and neck options accurately and efficiently without removing any constructs. The device seamlessly integrates into the company’s robust hip product line and works...
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