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
Determining Test Battery to Evaluate Patients with CAI
Chronic ankle instability—a recurring “giving way” of the lateral (outer) side of the ankle causing instability—results from repeated ankle sprains. These authors aimed to find a test battery that could be used easily and could discern true injury in this special population.
By Sofia Ryman Augustsson and Erik Sjöstedt
Book Excerpt: Getting the Most Out of Gait Evaluations
This chapter concerns the study of gait from an office setting, the understanding of what is considered normal, and the symptoms related to gait variations. In my training, gait evaluation was a crucial part in assessing how the [orthotic device] worked in controlling excessive motion, correcting for a short leg, improving someone’s posture, but also in spotting all sorts of problems.
By Richard Blake, DPM, MS
Young Children’s Footwear: Importance of Different Features
Purchasing footwear for children can be a concern for parents and caregivers, so clear and credible footwear information is important to help them with these decisions. This is particularly pertinent to the first 6 years, where a child’s development and…
By Cylie M. Williams, Helen A. Banwell, Kade L. Paterson, Katherine Gobbi, Sam Burton, Matthew Hill, Emma Harber, and Stewart C. Morrison
Rehabilitation Needed for People Wearing DFU Offloading Devices
Offloading devices improve healing of diabetes-related foot ulcers (DFUs) but they can limit mobilization. Rehabilitation during or after removal of these devices may promote physical activity in a population at risk of poor health outcomes for which inactivity is a reversible risk factor.
By Katherine H. Jones, Michael R. Backhouse, and Julie Bruce
Special Report: Nanoparticles and Electrospinning – Emerging Technologies in Wound Healing: A Review
Chronic wounds affect millions of patients worldwide making wound care an integral part of healthcare. Such wounds pose a significant financial burden upon both patients and the healthcare industry and negatively impact the patient’s overall quality of life. For this reason, continued…
By James McGuire DPM, LPT, LPed, Avnee J. Patel BS, DPMc
Book Excerpt: Physical Examination of Possible Biomechanics Involved
Whatever your base in Biomechanics, whether it is Root based or not, there are basic biomechanics that should be taught in all podiatry schools. Chapter 4 will go over the basic components of a podiatric biomechanical examination that I find most useful day to day treating patients.
By Richard Blake, DPM
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ShortTakes From the Literature
Long-Term Follow-Up Assesses Efficacy of Fosravuconazole for Onychomycosis in Elderly
Onychomycosis is a chronic and intractable disease whose prevalence increases...
Pediatric Hurdling Injuries
Hurdling is a unique track event due to a combination of running and jumping...
Some MS Therapies May Not Slow Disability Progression
In people with primary progressive multiple sclerosis (MS), a new study has...
NATA Study Highlights Overuse Injuries in High School Sports
Participation in high school sports has physical, physiological, and social...
Goal-Directed Osteoporosis Treatment: ASBMR/NHOF Task Force Position Statement 2024
The overarching goal of osteoporosis management is to prevent fractures. A...
Texture Changes in Heel Pad Macrochambers May Foretell Soft Tissue Damage in Diabetes
Diabetic foot ulcers pose a serious threat to people with diabetes, especially...
LinkedIN Post of Note: Pickleball Strikes Again!
Date Posted: Sept. 21, 2024
HIIT & Moderate-Intensity Improve Motor Symptoms in PD
Source: Kathia MM, Duplea SG, Bommarito JC, et al. High-intensity interval...
A Foot Forward for Optimum Health
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Industry News & Updates
Walking in Lockstep
Researchers at Osaka University, Japan, have used experimental data and...
New Prosthetic Foot Inspired by the Human Anatomy
The new SoftFoot Pro is a motorless, flexible, waterproof prosthetic foot that...
Synthetic Plugs Offer Alternative to Total Knee Replacements
Osteochondral defects (OCDs) can cause damage to cartilage and underlying...
Flexible Skin Sensor Detects Biomarkers, Offers Hope for Noninvasive Disease Monitoring
Researchers from the National University of Singapore (NUS) and the Agency for...
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Surgery Offers Young Patients Long-Term Benefits after Meniscus Tears
Young patients who underwent surgery for isolated meniscus tears between 1990 and 2005 showed...
Gender Matters in Achieving Functional Performance
How many practice trials are needed to achieve functional performance in static and dynamic...
The Effects of TT, FRT, and KT on Joint Angles and YBT Performance
Chronic ankle instability (CAI) is a common issue in the athletic population. Although there are...
The Effect of CAI on Landing/Cutting Lower-Extremity Kinematics, EMG, and GRF
In the poster, Altered Movement Neuromechanics during Jump Landing and Cutting in Patients with...
Influence of TT, FRT, and KT on Joint Angles of Lower Extremity
Even though there have been numerous studies regarding prophylactic ankle taping, the way to...
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
Performance Shoes for Female Volleyball Athletes
The Avoli Low-Top Volleyball Shoe is designed specifically for the demands of women’s volleyball and the shape of the female foot. Key features include a higher instep and spread forefoot design to provide ample space for toes to splay and flex, and a thinner and...
XtremityTT Socket System
The XtremityTTTM Socket System is a thermoformable transtibial definitive socket that is easier, faster, and safer to custom fabricate than a traditional carbon fiber laminated socket. The foundation for the system is an injection-molded socket preform with a distal...
Air Cushioned Insoles the Wearer Controls
PopSoleTM is a versatile, stress-relieving insole composed of tightly packed bubbles in an anatomic position. The arch and metatarsal pad are multi-level and may be immediately customized to accommodate a lower arch by popping the overlying bubble. For localized foot...
Calf Compression Sleeves
Comrad’s calf compression sleeves were developed to provide relief by addressing shin splints, calf cramps, and fatigue in the lower leg. They are designed with performance in mind as they are perfect for running, cycling, and training. The compression features help...
Walking Poles with Ergonomic Grip
York Nordic is pleased to announce the introduction of the new Motivator walking poles with a newly designed ergonomic grip that lends support to Nordic Walking to ensure maximum benefit and comfort to the user. The Motivator offers patented (pending) contoured grips...
Bio-engineered Skin Substitute
Helicoll is a bio-engineered skin substitute product made of high-purity Type-I collagen (>97% pure). It is designed to accelerate tissue regeneration, repair, and heal wounds caused by burns, trauma, diabetes, or other chronic conditions such as bedsores or venous...
Lipedema Garment with FlexFit Comfort Ankle
The Marena Group has launched a product designed specifically to assist patients recovering from lipedema reduction surgery. This new compression garment features the innovative FlexFit Comfort Ankle™, a unique foot construction with gliding compression panels, that...
Orthotics for Golfers
Custom, flexible ParFlex Plus® Orthotic for Golfers offers a unique forefoot stabilization, allowing for a stronger follow through. Wearers can benefit from improved proprioception, which is a key element of athletic performance and injury prevention while...
Wireless, Robotic System to Assist in Performing Knee Replacement
THINK Surgical’s TMINI™ Miniature Robotic System has received 510(k) clearance from the US Food & Drug Administration. The system includes a wireless robotic handpiece that assists surgeons in performing total knee replacement. Following a CT-based 3D surgical...
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