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 Habits of Successful Weight Losers

The Habits of Successful Weight Losers

Obesity is among today’s most pressing public health concerns and it’s negative impact on the human body—particularly in light of SARS-COV-2 infection, can be devastating. Once gained, losing weight can be difficult, but maintaining weight loss is even more difficult. This author provides evidence-based tips for maintaining lost pounds that you can share with patients and clients.

By Jason R. Karp, PhD

Increasing Consensus on Terminology of Achilles Tendon–Related Disorders

Increasing Consensus on Terminology of Achilles Tendon–Related Disorders

It has been customary practice for medical terms to be named after a person—familiar eponymous terms serve as shorthand during communication with colleagues. Specifically, as it relates to tendon–related disorders, several of these disorders can be distinguished and for each pathology different definitions and…

By Kim T. M. Opdam, Ruben Zwiers, Johannes I. Wiegerinck, C. Niek van Dijk, and Ankle Platform Study Collaborative – Science of Variation Group

Biofilm Management: The Struggle is Real

Biofilm Management: The Struggle is Real

A crucial component of wound management is regular debridement. The goal of debridement is the removal of all necrotic, fibrous, and devitalized tissue from the wound bed. Devitalized tissue in wounds produces a physical barrier to formation of new tissue and therefore decreases healing rates. If devitalized tissue remains in the wound bed, bacterial colonization is more likely.

By Windy Cole, DPM, CWSP

Bisphosphonates, Atypical Femur Fractures, and Health-Related Quality of Life

Bisphosphonates, Atypical Femur Fractures, and Health-Related Quality of Life

Bisphosphonates are currently one of the most commonly prescribed medications to prevent osteoporotic fractures. Bisphosphonates are frequently used as first-line agents for postmenopausal osteoporosis. Alendronate was first synthesized in the 1970s, and by 2006 about…

By Jonathon Spanyer, Lauren A. Barber, Harrison Lands, Alexander Brown, Mary Bouxsein, Marilyn Heng, and Madhusudhan Yakkanti

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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

Featured Products

Lower Extremity Review

Topical Analgesics

Topical Analgesics

Parker Laboratories has expanded its analgesics line with the addition of its Helix CBD Therapy Cream, CBD Clinical Cream, and Tri-Active Therapy Cream to its Helix line. Manufactured in the U.S., and exclusively sold to consumers through chiropractors, physical...

RB8 Recumbent Bike

RB8 Recumbent Bike

NuStep announced the launch of the RB8 Recumbent Bike, which features an inclusive design to accommodate users of varying fitness levels and functional abilities. It is also the third NuStep product to feature integrated sensor technology and real-time biofeedback....

Rechargeable, Portable, Pneumatic Compression Device

Rechargeable, Portable, Pneumatic Compression Device

REVIVE™ is a rechargeable, portable, pneumatic compression device used to gently massage muscle tissues to promote lymphatic uptake, thereby removing inflammatory byproducts associated with hard workouts, extended periods of standing or sitting, and swelling. Through...

Power Plate Insole

Power Plate Insole

Forward Motion/JM Orthotics are excited to offer the Power Plate insole, providing doctors with a medical-grade prefabricated solution for their patients. The Power Plate insole is designed to assist propulsion and enhance performance by gathering and releasing...

Copper-Enhanced Diabetic Socks

Copper-Enhanced Diabetic Socks

AVAL ACTIVE Diabetic socks protect feet by using drymax fiber technology, which mechanically lifts sweat off the skin, transferring it to the sock’s moisture-attracting outer layer, to provide a drier, more hygienic environment for the skin and toenails than do...

Stand2Walk Anatomically Designed Children’s Footwear

Stand2Walk Anatomically Designed Children’s Footwear

jbrds, a new children’s footwear brand anatomically designed to support foot structure and activity requirements at 4 distinct stages of a child’s physical development, has launched its first product line of Stand2Walk shoes for ages 9–18 months. The shoes were...

Sports Boot with Adaptive Ankle Protection

Sports Boot with Adaptive Ankle Protection

The Terrein Ascent hiking shoe combines natural freedom of motion with effective joint protection via a mini piston, called an “adapter,” which guards against twisting forces acting on the ankle. The protection system engages 3 times faster than human anatomy can,...

Ankle Stabilizer

Ankle Stabilizer

The SKY Stabilizer™ provides featherlight and streamlined support to athletes with healthy ankles and who want to keep them that way. The device is engineered to aid in promoting a more stable positioning range, thereby reducing potential for serious injury that could...

Socks to Treat Peripheral Neuropathy Pain, Improve Balance

Socks to Treat Peripheral Neuropathy Pain, Improve Balance

Balance Sock hugs specific nerves in the feet to improve proprioception and reduce, or even eliminate, neuropathic pain, with its proprietary design that increases stability, boosts performance, and soothes pain. The socks also provide strategic Achilles cushioning,...

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