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: All Carbon Fiber Footwear Plates Are Not Alike
The evolution of carbon fiber plate technology has accelerated in the past few years becoming an integral part of high-end running shoes produced by many of the top brands. The Nike Vaporfly first debuted in 2017 and its popularity, along with its performance, prompted a new paradigm in running shoe technology. The Vaporfly series features a rocker-shaped carbon fiber plate embedded in the…
By Matthew Arciuolo, C.Ped. BOC
Cardiometabolic Benefits of Replacing Sedentary Time with Light Physical Activity
Reduced sedentary time and increased light- and moderate- to vigorous-intensity physical activity had beneficial effects on several cardiometabolic risk markers in adults with metabolic syndrome.
By Taru Garthwaite, Tanja Sjöros, Saara Laine, Henri Vähä-Ypyä, Eliisa Löyttyniemi, Harri Sievänen, Noora Houttu, Kirsi Laitinen, Kari Kalliokoski, Tommi Vasankari, Juhani Knuuti, and Ilkka Heinonen
Physical Activity Guidelines for Americans
Preschool-Aged Children: Preschool-aged children (ages 3 through 5 years) should be physically active throughout the day to enhance growth and development. Adult caregivers of preschool-aged children should encourage active play that includes a variety of activity types. Children and Adolescents: It is important to provide young people opportunities and…
Disrupting Sedentariness With Short Exercise Bouts Improves Insulin/Glucose Metabolism
The health consequences of prolonged sedentary behavior—defined as activities with ≤1.5 metabolic equivalents of energy expenditure in a sitting or reclining posture—include an increased risk for cardiometabolic diseases and all-cause mortality…
By Tobias Engeroff, Eszter Füzeki, Lutz Vogt, and Winfried Banzer; Han C. G. Kemper, Academic Editor
Resistance Training Protects Age-Related Muscle Mass Loss*
The old adage is right: aging is not for sissies. Data shows that age-related losses in skeletal muscle mass, strength, and function weaken physiological resilience leading to increased vulnerability to catastrophic events. Each body may age in response to its unique life events, but every body does age. The Baby Boom generation (those born 1946–1964), benefitted…
Improving Walker Device Safety Keeps Patients Moving Forward
Aluminum frame walkers have been helping people get around since the late 1940’s. Did you ever wonder if they could do more? Inspiration comes to us in many forms. For Tim Visos-Ely, his inspiration came from personal experience with his grandmother. Not quite 10 years ago, Grandma Chris had a series of strokes that left her…
By Laura Fonda Hochnadel
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ShortTakes From the Literature
Vibration Aids Hard-to-Heal Wounds
A new scoping review from Japan suggests that low-frequency and low-intensity...
Exercise + Electrical Simulation for CAI
Chronic ankle instability (CAI) is diagnosed when symptoms (perceptions of the...
High Heels Remodel Leg Muscles
Therapeutic Benefits of Tai Chi Highlighted
The inaugural meeting of the Tai Chi & Qigong as Whole Person Health...
Exercise Training Modes Lower Resting Blood Pressure
In an effort to establish an optimal antihypertensive exercise prescription,...
Inflammatory Markers in Diabetic Foot Infections
This meta-analysis of 10 studies with 785 patients confirmed the significant...
Use of Removable Boot vs Cast After Ankle Surgery: Cost-Effectiveness vs QoL
In a unique combined study, researchers from multiple institutions across the...
TAA in Patients Age <50: Midterm Outcomes
In a chart review that spanned 2000-2017, researchers from Duke University...
A Foot Forward for Optimum Health
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Industry News & Updates
AOPA Announces 2024 Howard R. Thranhardt Award Recipients
The American Orthotic and Prosthetic Association (AOPA) announced the...
Robotic Hip Exoskeleton Promising for Stroke Patients
Stroke survivors often experience walking asymmetry, where 1 step is shorter...
Hanger Announces Acquisition of O&P Insight
Hanger, Inc., Austin, TX, announced that it has entered into an agreement to...
Electronic Sock Detects Unhealthy Walking Style
An electronic sock that detects an unhealthy walking style linked with...
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OPTIMIZING ORTHOTIC MILLING
By Jordana Bieze Foster Computer aided manufacturing is anything but a one-size-fits-all...
High-tech heel pad tissue analysis: Orthotic implications
By Jordana Bieze Foster The use of technology to improve orthotic design is not limited to CAD-CAM...
Additive manufacturing inches toward prime time
By Jordana Bieze Foster The fledgling field of additive manufacturing is still somewhat...
CONFERENCE COVERAGE: Custom Orthotic Insoles Technology Forum
Increasing numbers of clinicians and lab owners who have made the leap to digital orthotic...
Custom Orthotic Insoles Technology Forum
By Jordana Bieze Foster Many practitioners and orthotic laboratory owners are wary of making 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
samx1 Wearable Ultrasound Device
ZetrOZ Systems, creator and manufacturer of the sustained acoustic medicine (sam®) wearable ultrasound device product line, has introduced its newest innovation, the samx1. The samx1 delivers high-quality, effective soft tissue and injury healing capabilities at home....
Plantiga Smart Insoles
Plantiga is a smart insole system that tracks and analyzes biomechanics in the real world: in the clinic, on the field, or at home. The system enables the measurement of movement vital signs, so the user can be proactive instead of reactive, and live longer, happier,...
Therapeutic Compression Knee Wrap
KneeCapTM Therapeutic Compression Wrap looks like a baseball cap, but is made of stretchy Neoprene and contains a reusable cold pack. That means it is able to compress, cool, and comfort knees, elbows, or heels while allowing people to stay mobile. Designed by Kathi...
Smart Resistance Bands with Instant Feedback
WEGYM’s Rally X3 Pro smart resistance bands are made of PA+TPU material with a drop-resistant design. Fabricated from high-quality latex material, the product life offers up to 30,000 extensions, and the 10–110 lb. resistance level range makes it suitable for...
Hammertoe Treatment Technology
Nextremity Solutions’ Nextra® Hammertoe System family provides additional treatment options for surgeons. The Nextra CH Cannulated Hammertoe System provides surgeons an additional 2-piece option for the treatment of hammertoe deformity and meets the demand to have a...
Movement and Compressions (MAC) System
The Movement and Compressions (MAC) System is a novel, data-driven, mobility measurement device designed for hospital and home use. It provides therapeutic compressions to the lower leg and displays real-time patient mobility data, empowering bedside caregivers with...
Pain Relief Patch
Kailo is a skin patch that targets pain using nanotechnology. The patch contains millions of nanocapacitors, each of which is capable of carrying a small electrical signal. When the patch is applied to the skin it creates contact points that allow these nanocapacitors...
Outway Performance Socks
Outway state-of-the-art performance socks are designed for the pursuit of personal bests. Bike, run, workout, hike, and more in comfort and style. These socks come with premium yarns, original designs, and the right technical features to help users take on any...
Athlete’s Foot Product Line
Kerasal’s Athlete’s Foot product line features a unique formula with 5-in-1 benefits to not only help treat and heal most athlete’s foot, but also improve skin appearance and support a healthy footcare routine. This product line provides safe and effective treatment...
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