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
The Prodigy Sports: Early Specialization & Possible Long-Term Consequences
What do I mean by the prodigy sports? Specifically, I’m talking about sports that involve adolescents and younger who are already focusing on and playing only one sport. It’s a key chapter in my co-authored book, #HeySportsParents.1 Sports like gymnastics and figure skating are good examples, but we could add soccer, tennis, volleyball, swimming, etc.! Most doctors, therapists, and trainers are unanimous in frowning on…
By Robert Weil, DPM
Surviving a Knee Injury at 80
A month after my 80th birthday, I was doing a lunge. I bent my right knee and stretched out my left leg. My foot slipped. A sharp pain stabbed my knee. My leg buckled underneath me. If there was a popping sound, I didn’t hear it. The next day, after an X-ray and a physical assessment of my knee, the physician’s assistant at an Ortho Urgent Care declared that I had injured the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL).
By Marianna Crane, retired
The Utility of Silver Alginate
Exudate management is a common clinical concern when treating chronic wounds. Excessive wound leakage can be harmful to peri-wound skin1 and can require more frequent dressing changes. These dressing changes can damage tissue, be painful to the patient, and utilize nursing time, thereby increasing nursing costs. A dressing that is absorbent and requires minimal dressing changes could improve wound healing, while reducing patient discomfort and…
By Windy Cole, DPM, CWSP
Trainer’s Perspective: Strategies to Prevent Lower Extremity Injuries Common in Dodgeball
Dodgeball is a unique sport – it challenges a player’s every energy intermittently. Can you throw from a backwards turn mid-air and hit the opposing player in such a way that he or she can’t catch the ball – all while dodging incoming balls from the opposing team – and then run to the back of the court and stop?
By Brenda Kramer, BS
Player’s Perspective: Ode to Dodgeball Wargear – Shoes
Pairing an activity to the right pair of shoes is incredibly important. It is so important that I wish I had taken it more seriously when I first started playing dodgeball. When you go to a shoe store and tell them you need shoes for dodgeball, they often recommend trainers, or tennis-style shoes. Depending on your type of play, I really do not recommend this.
By Stacy Huen
Malnutrition: How It Affects Wound Healing in the Elderly
Various screening tools can be used to identify malnutrition early in the wound care process, improving healing times and quality of life. Anti-aging is not only a buzzword but a multimillion-dollar industry. Despite the many advertising claims and promises, we all experience physical and bodily changes as we age.
By Nancy Collins, PhD, RDN, LD, NWCC, FAND, and Ame Proietti
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ShortTakes From the Literature
Failing Conservative Achilles Tendon Management? Check Plantaris
Painful midportion Achilles tendinopathy affects athletes at all levels as...
Blood Biomarkers for Knee Osteoarthritis
Osteoarthritis occurs when tissues in joints break down over time. The disease...
Who Knew? Lifelong Exercise Affects Muscle Fibers
This study provides the first insights into fast and slow muscle fiber...
Students’ Backpack Load Impacts Stair Descent Gait
Investigators from Shaanxi Normal University in China studied the impact of...
Low Annual Revision Rate in Ankle Distraction for Ankle Osteoarthritis
Ankle osteoarthritis severely impacts patients’ mental and physical quality of...
Cranberry Extract Improves Runners’ Speed
Competitive athletes are always looking for an extra edge to help improve...
Changes in Foot Posture in Children with CP
Researchers from the Department of Orthopaedics at the Nemours Children’s...
MS More Prevalent Among Black Americans Than Once Thought
According to a new study1 by researchers at the University of Maryland School...
A Foot Forward for Optimum Health
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Industry News & Updates
AI-powered Exoskeleton Enhances Human Locomotion, Helps Restore Mobility
A team of researchers from the New Jersey Institute of Technology (NJIT) have...
New Magnetic Gel Heals Diabetic Wounds 3 Times Faster
A team of researchers from the National University of Singapore (NUS)...
Subtle Gait Impairments Detect Early Cognitive Decline
Gait analysis is emerging as a valuable, non-invasive complement to cognitive...
Hanger/AOPA Establish the Dr. James H. Campbell Commitment to Outcomes Award
Hanger, Inc., along with the American Orthotic and Prosthetic Association...
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CONFERENCE COVERAGE: International Clubfoot Symposium
The Ponseti method of clubfoot management has achieved worldwide acceptance, but practitioners...
Resource-poor areas benefit from global outreach efforts
By Emily Delzell Treatment of children with clubfoot has evolved considerably in the five years...
Benefits of Ponseti method extend to older children
By Jordana Bieze Foster Clubfoot correction ideally should be performed during infancy, before...
TATT in relapsed clubfeet can affect plantar flexion
By Jordana Bieze Foster Tibialis anterior tendon transfer (TATT) is known to be associated with...
Future of Orthotic Design will focus on practitioners
By Jordana Bieze Foster Foot orthotic laboratories have long been the principal players in the...
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
Ayurvedic Foot Cream
ProVEDA Essential Foot Cream with 2,200mg of broad-spectrum, THC-free, hemp-derived CBD blends Ayurvedic essential oils and extracts with plant-based stem cells that provide antioxidant benefits. The cream features the company’s proprietary Maximum Absorption...
Ionic Silver Socks
EMUAID® is taking a step forward with its innovative Ionic Silver Socks, bringing sock wearers anti-microbial protection, relief, performance, and comfort. These socks are woven with natural, broad-spectrum silver fiber for long-lasting moisture and odor control,...
Percussion Massager
The Wahl Cordless Percussion Massager uses high-penetration massage to attack muscle tension below the surface and can treat large muscle groups or pin-pointed problem areas through a combination of interchangeable heads and variable intensity control. Designed for...
Minimally Invasive Bunionectomy System
Arthrex has launched the award-winning Arthrex Minimally Invasive Bunionectomy System to offer patients a better solution to traditional bunion surgery. The system is designed to be an all-inclusive set to facilitate minimally invasive surgical bunion correction. It...
Cementless Knee Replacement
The Persona® OsseoTi® Keel Tibia for cementless knee replacement is the latest addition to Zimmer Biomet’s clinically proven Persona Knee System. It features a new porous version of the Persona anatomic tibia with the company’s OsseoTi Porous Metal Technology, which...
Pain Relief Cream
Sinoveda’s Proflexa pain relief cream was formulated to quickly reduce inflammation and relieve pain. It also boosts blood flow and promotes long-term healing. This is done through the healing properties of 7 distinct herbs. Clove and camphor provide a soothing...
Forward Motion Medical Version 9 of 3D Casting App
Forward Motion Medical has announced that version 9 of its 3D casting app is available for free on iPads and now iPhones. The app, which debuted in 2016, has added features such as start to finish casting and ordering, real-time order tracking, the ability to scan for...
Crew-fit Compression Socks
The crew-fit compression sock from Comrad is built with a stay-in-place fit at the ankle and the calf, which helps keep the sock from sliding. Additionally, there’s a supportive band of compression that wraps around the arch of the foot. This helps support the natural...
PCR Test for Detection of Interdigital Infections
BakoDx’s Web Space PCR test helps identify the infectious agents involved in web space dermatitis. This highly sensitive and highly specific test provides podiatric clinicians with ease of use, rapid results, and an accurate diagnostic method. The test utilizes...
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