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
Embracing the Transformation Brought by a Black Swan
We see the signs of COVID-19 loosening all around us. Protocols are relaxing, stores are opening, social events are happening, and people are traveling again. At a personal level, we are experiencing a series of post-COVID firsts. Some are small, such as a first trip to the store without a mask, first in-person meeting, or first sporting event.
By Gerald Stark, PhD, MSEM, CPO/L
Now We Know: Virtual Is Real
Lower Extremity Review reminds us of Bob Dylan’s famous line, “the times they are a-changin’,” as we emerge from the COVID-19 pandemic lockdown. But one has to wonder a bit why it took the pandemic to induce 1 very large change we all experienced: the shift from centralized to decentralized workspaces, at least for those of us in academia.
By Paul DeVita, PhD
2021 “Normal” Same as 2019, Just Different
In 2019, I worked in an office/clinic setting seeing multiple patients per day. On a normal day, I would shake their hand, touch as clinically necessary, fit and adjust prostheses. I would talk with colleagues in the breakroom while reaching for adjoining coffee mugs and exchange pleasantries with the patients of colleagues I passed near shoulder-to-shoulder in the hall.
By Robert Lin, CPO
Pandemic’s ‘Marathon Journey’ Forces Change
Forcing Change…The intensity, uncertainty, and rolling grip of the COVID-19 pandemic has, without doubt, challenged many of us, both professionally and personally. The arrival of innovative vaccines at the end of 2020 and early 2021 has enabled many countries to slowly return to some degree of normality.
By Sarah Curran, PhD
Limb Preservation in a Post-pandemic World: Virtually or Physically We’re all in this Together
The past 18 months have proven challenging for everyone; however, those afflicted with diabetes have borne a heavier load than most. The increased mortality associated with diabetes1 has justifiably received much attention.
By Ryan T. Crews, PhD, CCRP; Brian D. Lepow, DPM; and David G. Armstrong, DPM, MD, PhD
Making the “New Normal” a “Smarter Normal”
The times are definitely changing and will continue to change for the better. As the rest of the world pulls down their masks, we in the medical community will continue to stay masked, prepared, and ready for change.
By Philip Stotter, CEP
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Lower Extremity Review
ShortTakes From the Literature
Metformin & Sex Differences in Neuropathic Pain
As a widely prescribed anti-diabetic drug, metformin (MTF) has been receiving...
Aerobic, Resistance Exercise Shown to Fight Atherosclerosis
Carotid atherosclerosis is the leading cause of ischemic stroke. Carotid...
Imaging Strategy Enhances Lipedema Treatment
A unique collaboration between imaging science, vascular medicine, and...
100mg Aspirin Ups Risk of Serious Falls
Following on the 2018 ASPREE trial findings that the daily use of aspirin did...
Telmisartan Did Not Improve Mobility In Peripheral Arterial Disease
The blood pressure medication telmisartan did not improve walking performance...
Blood Flow Restriction Exercise After ACL Reconstruction
It is well known that muscle mass is lost following anterior cruciate ligament...
Age-related Muscle Decline Related to Lethal Childhood Disease?
Adopting some of the strategies behind successfully treating the childhood...
Smart Bandage Improves Wound Healing in Mice
A smart bandage used wireless power to protect and monitor wounds, provide...
A Foot Forward for Optimum Health
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Industry News & Updates
Wearable Ultrasound Monitor Can Aid Rehabilitation from Injury
Parag Chitnis, PhD, of George Mason University led a team that developed a...
New Innovation Designed to Assess Balance
A new innovation by Chatchanee Pakavatsoontorn, a lecturer with Chulalongkorn...
Hanger Inc. Acquires Fillauer
Hanger Inc., a provider of orthotic and prosthetic (O&P) patient care...
ACSM Announces New Exercise Oncology Society
The American College of Sports Medicine (ACSM) announced that its 2024 Annual...
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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
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Lower Extremity Review
TELEWOUNDSTAT EMBEDDED TELEMEDICINE MODULE
Telemedicine Solutions’ TeleWoundSTAT is an embedded telemedicine module within its WoundRounds app that was developed to help nurses launch bedside wound consults with off-site wound experts. The app can help ensure nurses and other caregivers correctly document...
FOOT AND ANKLE THERAPEUTIC DEVICE
AnkleSTONE® is an appliance designed to improve athletic performance, reduce foot and ankle injuries, and accelerate recovery following an injury, surgery, or other ailment. Created by Marien Zanyk, PhD, this unique orthopedic appliance can also be used for soft...
COMPEX MUSCLE STIMULATOR
Compex’s improved Wired 3.0 muscle stimulation device was designed to facilitate muscle warm-up, recovery, injury prevention, strength training, and pain management. It features programs for endurance, resistance, strength, explosive strength, pre-warm up, training...
FUELMEFOOT COMPRESSION SOCKS
Fuelmefoot’s over-the-calf, copper-infused compression socks are designed to promote blood circulation to the legs and feet and prevent varicose veins, as well as prevent blood clots or swelling during air travel. By helping to prevent the build-up of lactic acid,...
ONYFIX NAIL CORRECTION SYSTEM
The Onyfix nail correction system is designed to bring an involuted or ingrown nail back into a natural shape through normal growth without any tension or pain, following more or less proximal application using a hardened composite. The system consists of Onyfix...
VIVE BALANCE PAD
Developing stronger knees and ankles can both speed up recovery from an injury and help prevent an injury from occurring in the first place. The Vive Balance Pad makes building knee and ankle strength easy and even fun. The extra-large (15.8" x 13.4" x 2.4") mat was...
MYONYX REHAB SOLUTION
The MyOnyx rehab solution by Thought Technology features a sleek handheld device, equipped with surface electromyography (sEMG) sensors that measure and display muscle activity in real time. This information helps the physical therapist ensure the activation of the...
THE UPSWING WALKING BOOT LINERS
The Upswing improves the overall wellness outlook and recovery experience using thoughtful, elevated design and innovative, artistic styling. Using the mind/body connection, the company believes no one should have to sacrifice their style while injured. The company’s...
PRIMATRIX DERMAL REPAIR SCAFFOLD
PriMatrix is a unique scaffold for the management of wounds that includes diabetic foot ulcers (DFUs). Derived from fetal bovine dermis, this novel acellular dermal matrix provides an ideal environment to support cellular repopulation and revascularization processes...
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