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
Dog Leash-Related Injuries of the Lower Extremity Treated at Hospital Emergency Departments
There are millions of pet dogs in the United States (US), and thousands of people are treated at US hospital emergency departments (EDs) each year for dog leash-related injuries. The objective of this study was to describe dog leash-related injuries of the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
Edema and Ulcerations: The Effects of Venous Insufficiency
Millions of Americans are afflicted with painful, open, draining ulcers on their lower extremities. Venous leg ulcers (VLUs) cause significant clinical and economic burden to the healthcare system and society.1,2 It is not uncommon for clinicians to see patients who have suffered for years with VLUs.
By Windy Cole, DPM, CWSP
Are Vegetarian Diets Adequate to Support Wound Healing?
Protein plays a critical role in wound healing by supplying nitrogen and amino acids, which are needed to build new tissue. Nutritional interventions for wound healing often include a recommendation to increase the amount of protein consumed…
By Nancy Collins, PhD, RDN, LD, NWCC, FAND
Lifestyle and Integrative Medicine Strategies for Managing Knee Osteoarthritis
Osteoarthritis (OA) is a slowly evolving articular disease that affects the underlying bone, soft tissue, and synovial fluid.1 Osteoarthritis typically affects the hands and large weight-bearing joints, such as the hips and knees.
By Ziya “Z” Altug, PT, DPT, MS, OCS
Hamstring Strain Injury Rehabilitation–Part II*
Impaired performance and reinjury rates are high for this common injury. This narrative review discusses the causes and mechanisms of hamstring strain injury and current clinical concepts related to the rehabilitation process, with the aim of helping practitioners improve athletes’ outcomes.
By Jack T. Hickey, PhD, AEP; David A. Opar, PhD; Leigh J. Weiss, DPT, PT, ATC; and Bryan C. Heiderscheit, PhD, PT
Recovery and Regeneration Strategies for Foot Performance Part 3
In the first article of this series, I introduced the concepts of recovery and regeneration as well as terminological and methodological differences; in the second article, I discussed the main aspects related to the 3 levels of foot recovery (Functional, Structural, and Sensory).
By Antonio Robustelli, MSc, CSCS
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Lower Extremity Review
ShortTakes From the Literature
Sedentary Time And Polypharmacy
Increased sedentary time is associated with an increased risk of polypharmacy...
Playing Golf = Nordic Walking
Older adults may gain more health benefits from playing golf than...
Hospitalizations and Hip Fractures
In a study of 701 hip fracture patients (age >65 yrs), researchers from...
Exercise, Nutrition, And Muscle Outcomes
As the population ages, sarcopenia becomes a greater challenge and...
Data-Driven Balance Assessments
Evidence shows that that nearly 75% of people over age 70 have some type of...
Shared Medical Appointment for Fall Risk Assessment
Falls are a leading cause of morbidity and mortality in the aging population...
Calcaneal fractures
Calcaneal fractures account for 60% of tarsal fractures, and intra-articular...
Effect of Kinesiology Tape on Muscle Activation in Chronic Ankle Instability
The purpose of the study was to determine the effect of kinesiology tape (KT)...
A Foot Forward for Optimum Health
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Industry News & Updates
Magnetic Mat Helps Muscles to Work Together
Engineers at the Massachusetts Institute of Technology (MIT) have designed a...
Wearable Biosensor May Enhance Athletic Performance, Prevent Injuries
Researchers at The University of Alabama in Huntsville (UAH) have designed a...
Swiss Prosthetic Leg Helps Amputees to Feel the Floor
Swiss researchers have developed a special prosthesis that enables amputees to...
Shoe Technology Reduces Risk of DFUs
Researchers at the University of Texas at Arlington Research Institute (UTARI)...
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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
Sensory Insoles with Remote Patient Monitoring
Orpyx® Medical Technologies has launched the Orpyx SI® Flex Sensory Insole system and Orpyx Remote Patient Monitoring (RPM) services. This remote monitoring program drives engagement and extends mobility for people living with diabetes by transforming patient care...
Revitalign’s Newly Designed Footwear
Waco Shoe Company brand Revitalign® is relaunching 3 products, the Kholo™, Siesta™ and Yumi™, that integrate new improvements in sole design to increase performance and comfort. In the updated design, PWR-BRIDGE® technology properly supports, cradles, and stabilizes...
Lapidus Fusion Wedge
The Trigon Lapidus Wedge is a PEEK-OPTIMA® HA Enhanced implant indicated for a first metatarsal-cuneiform lengthening arthrodesis, and is the first implant to specifically reference lengthening in its US Food and Drug Administration indication. It is offered in 3...
Relaunch of RecoFit Compression Brand
Movement Interactive, a developer of impact-detection technology, has acquired RecoFit™ compression gear brand and is relaunching the products. RecoFit products include compression tights, calf compression sleeves, shin-splint therapy compression sleeves, full-leg...
Self-Installation Running Blade Kit
Levitate has removed the barriers that stand between amputees and an active life with a self-installation kit and a blade. Made from a composite material, the blade is lightweight, flexible, durable, compact, and affordable. With this hands-on approach, users can...
AR Headset for Orthopedic Surgeons
Enovis has launched ARVIS® (Augmented Reality Visualization and Information System), a proprietary, real-time, hands-free augmented reality (AR) headset designed for orthopedic surgeons, so they can visualize precision guidance when performing hip and knee surgery...
Software for Human Body 3D Acquisition, Measurement
TechMed 3D has released its new SNAP solution, a fully mobile and automatic software for human body 3D acquisition and measurement. Users can scan, visualize, and obtain measurements for plantar surface (this tool only targets insoles for the moment). Once processed...
New Knee Osteoarthritis Book from Noigroup
Epiphaknee: A Modern Approach to Knee Osteoarthritis is a new book written by 3 internationally renowned pain and movement experts: G. Lorimer Moseley, DSc, PhD, FAAHMS, FPMANZCA, FACP; David Butler, Ed D, B Phty, GDAMT, M App Sc, PT; and Tasha R. Stanton, BScPT, MSc,...
Meteor/Meteor Mini Accessory Bundle
MyoStorm has introduced an Accessory Bundle for use with its Meteor and Meteor Mini massage balls. The Accessory Bundle includes a 3-in-1 Recovery Roller, a Dual Layer Recovery Mat, and a Massage and Stretch Strap. The Recovery Roller turns the massage ball into a...
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