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

Do the Fasciae of the Soleus Have a Role in Plantar Fasciitis? Part II

Do the Fasciae of the Soleus Have a Role in Plantar Fasciitis? Part II

Plantar fasciitis is a chronic and painful disabling condition affecting the inferomedial aspect of the heel, usually extending toward the metatarsophalangeal joints. These authors examined the anatomical and biomechanical substrates of plantar fasciitis with special emphasis on the emerging, though largely neglected, fascial system.

By Larisa Ryskalin, PhD; Gabriele Morucci, PhD; Paola Soldani, PhD; and Marco Gesi, PhD

Falls and Related Injuries Due to Chronic Ankle Symptoms

Falls and Related Injuries Due to Chronic Ankle Symptoms

Falls and falls-related injuries are a problem in individuals with chronic ankle symptoms. Falls are a significant health concern especially among older adults. While falls are associated with osteoarthritis (OA) and persistent pain at the hip and knee, falls have not been investigated in people with…

By Munira M. Al Mahrouqi, Bill Vicenzino, David A. MacDonald, and Michelle D. Smith

Do the Fasciae of the Soleus Have a Role in Plantar Fasciitis? Part I

Do the Fasciae of the Soleus Have a Role in Plantar Fasciitis? Part I

Plantar fasciitis is a chronic and painful disabling condition affecting the inferomedial aspect of the heel, usually extending toward the metatarsophalangeal joints. These authors examined the anatomical and biomechanical substrates of plantar fasciitis with special emphasis on the emerging, though largely neglected, fascial system.

By Larisa Ryskalin, Gabriele Morucci, Paola Soldani, and Marco Gesi

Podiatric Pathology in Women with Breast Cancer Undergoing Chemotherapy

Podiatric Pathology in Women with Breast Cancer Undergoing Chemotherapy

Chemotherapy is one of the most widely used therapies for breast cancer. However, little research has been undertaken about podiatric adverse effects. Chemotherapy—1 of the most widely used therapies for breast cancer—and its effects have been widely…

By Raquel Veiga-Seijo, Sonia Pertega-Diaz, Maria Eva Perez-Lopez, Lourdes Calvo Martinez, Silvia Antolin Novoa, and Cristina Gonzalez-Martin

Therapeutic Benefits of Ankle-Foot Prostheses

Therapeutic Benefits of Ankle-Foot Prostheses

A better understanding of the therapeutic benefits of performing daily activities with passive, quasi-passive, and active ankle-foot prostheses in people with a lower limb amputation can help gauge the impact of…

By Elke Lathouwers, María Alejandra Díaz, Alexandre Maricot, Bruno Tassignon, Claire Cherelle, Pierre Cherelle, Romain Meeusen, and Kevin De Pauw

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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

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Lower Extremity Review

New, Improved Knee Brace for Chronic Pain Relief

New, Improved Knee Brace for Chronic Pain Relief

Bauerfeind’s new and improved GenuTrain A3 knee brace is designed for people living an active lifestyle who need support for chronic, mild to moderate knee osteoarthritis pain. The newly designed star-shaped patella pad with extra effective zones provides even better...

Scale that Detects Early Diabetes Complications

Scale that Detects Early Diabetes Complications

Body Pro 2 is a revolutionary device that redefines the nature and use of cellular-connected smart scales. It combines habit-forming user features with a pioneering modular approach to manage chronic conditions within one versatile device. Its core capabilities allow...

Infrared Recovery Compression Socks

Infrared Recovery Compression Socks

Comrad Socks recently unveiled its latest innovation, the Infrared Recovery Compression Socks. The infrared-infused fabric absorbs natural heat and reflects infrared energy back into the body, easing muscle fatigue and reducing swelling. This advanced feature not only...

Diabetic Hydrogel Wound Dressing, First Aid Gel

Diabetic Hydrogel Wound Dressing, First Aid Gel

Lavior Pharma’s Diabetic Hydrogel Wound Dressing and Diabetic First Aid Gel plant-based creams are rapid-healing creams, developed from groundbreaking wound care research. They are endorsed by the American Diabetes Association. The company’s extensively researched...

Ankle Arthrodesis Nail System

Ankle Arthrodesis Nail System

The Shotel™ Ankle Arthrodesis Nail System uses a novel device design to treat end-stage ankle arthritis. The patented system, which is manufactured and distributed by BioPro Implants, differs from traditional ankle arthrodesis devices because its unique curved design...

Portable, Wireless TENS/NMES Unit

Portable, Wireless TENS/NMES Unit

MANAMED®’s ManaFlexx 2 is a compact medical device that delivers electrical pulses to the user’s skin through the company’s patented wireless technology for 2 distinct uses. The device was originally granted US Food &Drug Administration–clearance for the...

Partial Knee Replacement System

Partial Knee Replacement System

Ortho Development’s BKS® Uni, the latest addition to its portfolio of Balanced Knee® implant systems, is a partial knee replacement system designed to preserve bone, simplify surgical technique, and leverage the clinical heritage of the Balanced Knee System. The...

Customizable Pneumatic Compression Recovery Device

Customizable Pneumatic Compression Recovery Device

Recovapro Air by Recovapro is a US Food & Drug Administration–type II medical-grade compression system to aid athletes to have a faster recovery after intense training. The medical-grade pneumatic compression system is a proprietary technology that provides an...

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