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

Lower Extremity Compression Garments Use by Athletes: Why, How Often, and Perceived Benefit

Lower Extremity Compression Garments Use by Athletes: Why, How Often, and Perceived Benefit

The popularity of lower extremity compression garments (CGs) amongst athletes continues to increase. Initially CGs were mainly prescribed to patients with chronic venous disorder. Using graduated lower extremity CGs with a degrading pressure from distal to proximal parts of this extremity increases venous flow velocity…

By Thierry P. C. Franke, Frank J. G. Backx, and Bionka M. A. Huisstede

Wound Care Update: New Uses for Adipose Grafts in Podiatry and Wound Care

Wound Care Update: New Uses for Adipose Grafts in Podiatry and Wound Care

Diabetic foot ulcers and the resultant skin defects caused by delayed wound healing are a common and costly challenge for healthcare providers. Recent advances in tissue engineering have given rise to new promising treatment options to help with wound repair and tissue augmentation. Newly available adipose tissue grafts can help clinicians solve troublesome issues…

By Windy Cole, DPM, CWSP

Effects of Offloading Devices on Static and Dynamic Balance in Patients with Diabetic Peripheral Neuropathy: A Systematic Review

Effects of Offloading Devices on Static and Dynamic Balance in Patients with Diabetic Peripheral Neuropathy: A Systematic Review

Diabetes mellitus (DM) is a major problem worldwide, especially among elderly. Diabetic patients are prone to develop neuropathy at their feet and ankles. The incidence of diabetic peripheral neuropathy (DPN) among newly diagnosed diabetic patients is approximately 30%.

By Koen Andre Horstink, Lucas Henricus Vincentius van derWoude, and Juha Markus Hijmans

Common Skin and Nail Conditions of the Lower Extremity: Part 3

Common Skin and Nail Conditions of the Lower Extremity: Part 3

Many foot and ankle specialists focus on the musculoskeletal conditions of patients. Skin and nail conditions of the feet, however, are some of the most common complaints that patients have. This 3-part series describes the most common conditions patients present with to my office and provide some effective treatment options.

By Paul J. Betschart, DPM

The Future of Orthotics Manufacturing

The Future of Orthotics Manufacturing

3D printing has been waiting to disrupt the orthotics market for years. Only time will tell if the pandemic’s pause afforded clinicians the opportunity to understand the benefits this technology can bring to their practice and their patients. Recent decades have seen a proliferation of technological advances that promise to transform traditional methods of fabricating in-shoe foot orthoses.

By Cary Groner

The Coming Renaissance Will Unlock the Innovation Vault in Orthotics

The Coming Renaissance Will Unlock the Innovation Vault in Orthotics

I joined Langer Biomechanics toward the end of 1979. I believe the orthotic industry was about halfway through the first of 3 distinct periods in its evolution: the development phase. The science, education, and product development work of that era created a level of utilization by clinicians that forever altered the previous use of “arch supports” and replaced…

By Jason Kraus

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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

FOOTCORE MAX

FOOTCORE MAX

The FootCore MAX is an intrinsic muscle activation system for the foot, which allows the user to strengthen and rebuild the muscles that give the foot its shape and structure, including the arch. In just a few minutes a day, the patented technology, based on over 100...

3D-PRINTED CUSTOM WALKING BOOTS

3D-PRINTED CUSTOM WALKING BOOTS

ActivArmor provides custom-fitted, waterproof, breathable, low-profile walking boots for fracture care and offloading using their free iPhone app digital scan. Create a precise 3D scan of the patient, marking any custom features (offsets/exposures), and ActivArmor...

TEXTURED RECOVERY SOCKS

TEXTURED RECOVERY SOCKS

Naboso’s new Recovery Socks combine the benefits of compression socks with targeted foot recovery with texture stimulation. The socks offer 3 primary benefits. First, they enhance circulation with a patent-pending texture specifically designed to penetrate the...

PATELLA GEL PADS KNEE SLEEVES

PATELLA GEL PADS KNEE SLEEVES

Fuelmefoot’s patella gel pads medical-grade knee sleeves are designed for meniscus tears, arthritis, ACL injuries and injury prevention, joint pain relief, and sports injury recovery. The sleeves, which are made using 3D-knitted moisture-wicking material, promote...

ORTHOTICA LABS

ORTHOTICA LABS

Orthotica Labs, a state-of-the-art custom orthotics laboratory focused on lower extremity care, has officially launched following a successful 3-month beta testing program. With a focus on the practical needs of both doctor and patient, the lab’s technology platform...

DORSIFLEX

DORSIFLEX

DorsiFLEX is a patented device that places the foot in 3D variable and adjustable positions to deliver a deeper, targeted, and amplified stretch of the lower leg and foot muscles. It was developed for individuals who have plantar fasciitis, Achilles tendonitis, turf...

NEW SUPER SOFT FOAM ROLLER

NEW SUPER SOFT FOAM ROLLER

OPTP® has introduced the new PRO-ROLLER Super Soft Foam Roller to its product line. This foam roller features professional-quality and highly durable EVA foam construction, with a super soft density that offers the gentlest, most forgiving compression of all the...

DIGITSOLE PRO SMART INSOLE

DIGITSOLE PRO SMART INSOLE

Digitsole has launched its second-generation Digitsole Pro® system and smart insoles. This system was developed with, and for, healthcare professionals to improve the clinical assessment of patients with mobility disorders. It represents an important assessment...

ÖSSUR POWER KNEE

ÖSSUR POWER KNEE

Össur’s POWER KNEE is an actively powered microprocessor prosthetic knee for people with a transfemoral amputation or limb difference. The motor-powered “smart” prosthesis uses advanced algorithms to detect human movement patterns, thereby learning and adjusting to...

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