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
lerEXPO Upcoming Events
Feature Articles
The Role of Collagen Dressings in Wound Management
Collagen is the most abundant protein in the human body. It acts as a support structure, giving the skin strength and elasticity. Collagen also plays an essential role in wound healing. During the proliferative phase, fibroblasts migrate into wounded tissues and lay down new…
By Windy Cole, DPM, CWSP
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
Foot Orthoses Do Not Change Soft Tissue Morphology, Skin Sensitivity
Some have worried that foot orthoses that shift plantar load may alter the mechanical work of internal structures and change the size of muscle and connective tissues, and actually make them smaller. These authors challenge that notion.
By Joanna Reeves, Richard Jones, Anmin Liu, Leah Bent, Ana Martinez-Santos, and Christopher Nester
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
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 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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Lower Extremity Review
ShortTakes From the Literature
Textured Insoles Do Not Affect Gait, Sensation, PROs in MS
Innovative shoe insoles, designed to enhance sensory information on the...
Doesn’t Matter How You Reach 150-min Physical Activity Target
Are so-called “Weekend Warriors”—those folks who cram all their physical...
Strength Training Preserves Aging Fast-twitch Musculature
Aging is typically associated with decreased muscle strength and rate of force...
Hindfoot Nails And Geriatric Ankle Fractures
Ankle fractures can potentially limit an individual’s mobility, autonomy, and...
Trends in World-Class Endurance Training
In a recent invited commentary in the International Journal of Sports...
Key Factors for Community Participation After Amputation
Can we predict community participation after amputation? Researchers from the...
Dysfunctional Exosomes Involved in Chronic Inflammation in Diabetic Wounds
Tiny signaling particles called exosomes isolated from the chronic wounds of...
World Guidelines for Falls Prevention and Management for Older Adults
‘It takes a child one year to acquire independent movement and 10 years to...
A Foot Forward for Optimum Health
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Industry News & Updates
New Journal Will Focus on Rehabilitation and Assistive Technologies
JMIR Rehabilitation and Assistive Technologies, a member publication of the...
Novel Wearable Sensors and AI Transform Balance Assessment
Using wearable sensors and advanced machine learning algorithms, researchers...
Stem Cell Therapy Aims to Prevent Amputations from CLI
A research team led by Dr. Sangheon Kim of the Center for Biomaterials...
Samsung Electronics Developed Hip-Assist Robot to Advance Fitness in the Elderly
Samsung Electronics has developed EX1, an exercise assistance robot, with the...
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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 and Chief Executive Officer
Featured Products
Lower Extremity Review
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
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
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
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
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
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
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
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
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,...


























