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
Epidemiology of 50,000+ Ankle Fractures During a 10-year Period
Large epidemiological studies are needed to elucidate the underlying injury mechanisms, the demographics of each fracture group, and the influence of sex and age on the sustained fracture.
By Emilia Möller Rydberg, David Wennergren, Caroline Stigevall, Jan Ekelund, and Michael Möller
Measuring Children’s Feet: 3D Foot Scanning Compared with Established 2D Manual or Digital Methods
In infants and young children, a wide heterogeneity of foot shape is typical. Therefore, children, who are additionally influenced by rapid growth and maturation, are a very special cohort for foot measurements and…
By Juliane Mueller, Monika Richter, Kathrin Schaefer, Jonathan Ganz, Jörg Lohscheller, and Steffen Mueller
Kinesiology Tape for Prevention & Treatment of Sports Injuries
The growing use of kinesiology tape requires guidelines for safe and effective application. The popularity of kinesiology tape (KT) across the world is rising as witnessed by its common appearance on athlete’s bodies during the Olympic games or football…
By Adéla Andrýsková and Jung-Hoon Lee
Effects of Sensory Prosthesis for Peripheral Neuropathy
Persistent problems with gait and balance function may lead to falls, fractures, and other serious injuries in older adults. Persistent problems with gait and balance function may lead to falls, fractures, and other serious injuries in older adults.
By Lars I. E. Oddsson, Teresa Bisson, Helen S. Cohen, Ikechukwu Iloputaife, Laura Jacobs, Doris Kung, Lewis A. Lipsitz, Brad Manor, Patricia McCracken, Yvonne Rumsey, Diane M. Wrisley and Sara R. Koehler-McNicholas
Presentation of an Intelligent Plantar Pressure Offloading System
A need exists for user-friendly, offloading footwear that reduces high plantar pressure to prevent and treat foot ulcers. The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs), which remains…
By Sarah L. Hemler, Sofia Lydia Ntella, Kenny Jeanmonod, Christian Köchli, Bhawnath Tiwari, Yoan Civet, Yves Perriard, Zoltan Pataky
NATA Offers Vital Tips for Back-to-School Safety
With temperatures on the rise and student athletes returning to preseason practice fields this summer, the National Athletic Trainers’ Association (NATA) has released safety tips to ensure parents ask the right questions of schools to ensure best sports safety practices are in place.
From the National Athletic Trainers’ Association
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Lower Extremity Review
ShortTakes From the Literature
Microvascular Permeability in Diabetic Muscle
Microvascular permeability in diabetic muscle was investigated using our...
Pulmonary Complications After Femur Fracture Repair in Patients ≥80 Years
As the population of those age 80+ increases, surgeries for femur fractures...
Diabetic Foot Ulcers in the Time of COVID-19
A recent scoping review of the literature sought to understand the impact the...
Assessing Gait Kinetics With IoT-Based Wireless System
In a new study from Brazil, researchers developed an Internet-of-Things...
Can a Common Definition Improve Surgical Wound Dehiscence Diagnosis?
Surgical wound dehiscence (SWD) can affect up to one-third of foot-related...
Can Thermography Predict Diabetic Foot Ulcer Risk in Patients with Diabetes?
Prevalence of diabetic foot ulcers (DFUs) in patients with diabetes mellitus...
Aerobic Exercise Boosts Muscle Regeneration in Aged Mice
Aerobic exercise effectively reverses the decline in endurance capacity and...
Does Texting While Walking Affect Gait’s Plantar Pressure Parameters?
This study aims to examine the possible effects of mobile phone use on plantar...
A Foot Forward for Optimum Health
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Industry News & Updates
Tool Listens in on Early OA Biochemical Communication in Joints
A fluorescent dye could help scientists listen in on biochemical conversations...
Promising New Treatment for Diabetic Wounds
Researchers at the Terasaki Institute for Biomedical Innovation (TIBI) have...
Engineered Cartilage from Septum Cells Helps Treat Knee Injuries
Researchers at Switzerland’s University of Basel and University Hospital Basel...
Swedish Research Team Develops Soft, Robotic Ankle Exoskeleton
A team of researchers from KTH Royal Institute of Technology (KTH) and...
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Negative Pressure Wound Therapy Creates Positive Clinical Outcomes in an Outpatient Setting
By Nicole Wetsman A new, disposable negative pressure wound therapy (NPWT) system effectively...
K-Tape Could Be Helpful in Treatment of Dancers
Nearly 70% of university level ballet and modern dancers report ankle sprains, and 75% have been...
Resistance Bands, BAPS, or Combo—All Work Well in CAI Rehab
Three 10- to 20-minute sessions per week for 4 weeks of resistance bands, BAPS board, or a...
Ankle ROM in CAI
As part of a larger investigation and evolution of rehabilitation paradigms for those with chronic...
CAI Is Unique to Each Ankle, Treatment Should Be Too
“Balance training isn’t a cookie-cutter treatment that should be used for every patient with CAI,”...
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
Zippered Compression Socks
Zio Compression Socks are designed for both convenience and efficacy. The zipper ensures ease of donning and doffing while still providing all the benefits of traditional compression socks. They retain the vital graduated pressure, offering consistent support...
Video Exercise Program for Vibrant Aging
Ludica announced the availability of its subscription-based LudoFit platform, a revolutionary new exercise program designed to make fitness enjoyable, affordable, and convenient for seniors 55 and over. The company’s tech-forward approach is designed to inspire...
Attractive Safety and Mobility Aids
Medline Industries has teamed up with Martha Stewart to introduce a new line of design-inspired bed, bath, and around-the-home safety and mobility products. The collection features prints and patterns in sophisticated colors and finishes. The new line of functional,...
Audio Feedback Hand Weights or Running Speed, Short Distance Training
WeckMethod’s ProPulse Speed Trainers are compact hand weights that help enhance reaction time, increase speed, and amplify conditioning. They use audible and tactile feedback to coordinate timing and rhythm when exercising. The product aims to help individuals run...
Slim, Lightweight Microprocessor Orthosis
Blatchford’s Tectus® orthosis features a small, lightweight, modular design and enables people with partial lower limb paralysis to walk more naturally, comfortably, safely, faster, and with increased confidence and less pain. Using Blatchford’s proprietary...
Waterproof, Temperature-Control Boot Insoles
Zentek Clothing has updated its temperature control boot insole products to make them accessible for all shoe sizes. The boot insoles provide customers with a trim-to-fit version that should be accessible to all shoe sizes up to men’s size 12. These insoles use...
Plantar Fasciitis Socks
People who are committed to their fitness and health and are looking for the best plantar fasciitis socks with arch support can now take advantage of Physix Gear Sport’s Plantar Fasciitis Socks with arch support. The socks are designed to deliver instant arch support,...
Foot Massager for Neuropathy and Nerve Pain Sufferers
From the ergonomic design to precision point rollers and gentle massage air techniques, the Zarifa Foot Massager packs a punch in the medical massage category. The Zarifa Z-Smart Shiatsu Foot Massager + incorporates the best reflexology foot theory with deep kneading...
Bionic Prosthetic Leg
BionicM, a Japanese medical device startup, has introduced its US Food & Drug Administration 510(k)–registered Bio Leg™. This robotic prosthetic knee joint assists a wide range of movements with power, such as ascending and descending stairs. The knee bends with...
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