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
‘Thank You Note’ from the Future Deepens the Meaning of Essential
The COVID-19 pandemic became an unwelcome defining factor of 2020 and into 2021. Now, we’re seeing the light at the end of the tunnel. And this makes it a good time to reflect on the pandemic’s effect on podiatric medicine and surgery. It’s also time to ask how we can be prepared for future events that may affect how we practice.
By Andrew Schneider, DPM
Pandemic’s Effects Ripple Into Practices Large and Small
The COVID-19 pandemic’s profound effect on the healthcare system will produce a ripple across all healthcare industry sectors, including podiatric medicine and surgery. Some of these changes are obvious and currently taking place, and many are still to be determined.
By Patrick DeHeer, DPM
Pandemic Changes Paradigm for Where Data Can Be Collected
Throughout the COVID-19 pandemic, the use of telehealth visits has skyrocketed in an attempt to limit the spread of the virus. And due to its popularity, the continued use of telehealth is expected. However, while telehealth can be effective in many areas, there are limitations when it comes to characterizing changes in physical function such as gait.
By Patrick Roscher, MS, and Arnaud Gouelle, PhD
Pandemic Proves O,P&P Is Nothing If Not Adaptable
As we pass the midpoint of 2021, our great country is slowly but surely reopening and, hopefully, returning to normal (not the overused-to-the-point-of-being-nonsensical “new normal” that we heard about ad nauseum, but the real “normal” that we all remember and long for).
By Erick Janisse, CPed
Rediscovering Original Purpose
Like many of us, I have had my share of trying times. I remember a quote I read while battling an illness that said, “Sometimes painful things can teach us lessons that we didn’t think we needed to know.” This couldn’t be more meaningful than during the COVID-19 pandemic.
By Rob Conenello, DPM
The Paradox of Modern Technology: Closer But Less Human
COVID-19 has changed the world in ways that we can’t even imagine as of yet. One thing that this pandemic has done is it caused us to distance ourselves from other people and realize the paradox of modern technology.
By Mark Mendeszoon
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Lower Extremity Review
ShortTakes From the Literature
By the Numbers: Total Ankle Arthroplasty Trends ↗
Use of total ankle arthroplasty (TAA) has been on the rise and researchers...
Biomechanical Performance Factors in Sprint Starts
The 100m race is the highlight of many track and field events; indeed, in the...
AACE Algorithm for Diabetic Peripheral Neuropathy
Despite major advances in elucidating the pathogenesis of diabetic peripheral...
Suggested Reading
For 10 years, John O’Sullivan, founder of the Changing the Game Project and...
Review Finds 6 Treatments Help Patellofemoral Pain
Researchers in Australia and Britain sought to understand the effects of...
Loss of Training Due to COVID Unpredictable
A recent study from the Polish Academy of Sciences looked at the number of...
Popular Diabetes Drugs Compared in Large Trial
Metformin has long been considered the first-line medication for type 2...
Treatment for Osteochondral Lesions of the Talus
Osteochondral lesions of the talus (OLT) are often associated with ankle pain...
A Foot Forward for Optimum Health
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Industry News & Updates
Self-Sensing Electric Artificial Muscles has Implications for Rehabilitation Training
Muscle contraction hardening is essential for enhancing strength and also...
Algorithm Measures Quality of Gait Through Smart Watches
An algorithm written by researchers from Neuroscience Research Australia...
OSU Receives Research Funds to Treat Diabetic Neuropathy
The National Institutes of Health has awarded $3.6 million to a team of...
NATA Receives APHA Public Service Award
The National Athletic Trainers’ Association (NATA) received the American...
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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
BIOBRACE BIOCOMPOSITE SOFT TISSUE SCAFFOLD
The BioBrace implant from BioRez represents the first biocomposite soft tissue scaffold designed to reinforce tendon and ligament repairs, promote healing, and fully resorb. This new biocomposite soft tissue scaffold is intended to be used in a broad range of surgical...
REVOLOCK
RevoLock is a kit that a practitioner builds into a prosthetic socket. It offers an easy, simple, and secure solution so that patients can achieve proper suspension. There are 2 kit options: 4-Hole for standard alignment fabrication and Align for transferable...
APB ALL PURPOSE BOOT
Featuring a 20% lighter EVA outsole, the DARCO All Purpose Boot™ (APB) provides patients with superior shock absorption, durability, and comfort when compared to traditional TPR-soled post-op shoes. This closed-toe post-op shoe offers 150% better rebound, retaining...
OCCIPITAL STRUCTURE SENSOR PRO
Occipital and TechMed 3D have partnered to integrate support for Occipital’s Structure Sensor Pro into TechMed3D’s software solutions to meet scan-to-fabrication needs across the healthcare industry. Healthcare professionals can connect a Structure Sensor Pro to an...
THE UPSWING LEG CAST COVERS
The Upswing is a new brand that believes in the holistic approach to healing, equalizing the importance of the body and mind. The company believes if you look better, you will heal better! Using thoughtful, elevated design and innovative, artistic styling, the company...
WEB SPACE INFECTION PCR TESTING
Bako Diagnostics developed a BakoDx Web Space PCR (polymerase chain reaction) test to identify the infectious agents involved in web space dermatitis. This highly sensitive, highly specific test provides podiatric clinicians with ease of use, rapid results, and...
CEP COMPRESSION’S ULTRALIGHT COLLECTION
CEP Compression’s innovative Ultralight Collection is designed to help athletes stay cool and dry during their workouts. Built with innovative smart carbon technology, CEP’s Ultralight socks and calf sleeves are engineered to provide extreme strength and high...
PT CONTROLLER
Forward Motion Medical has released more information about its PT Controller custom orthotic, an aggressive device designed for posterior tibial tendon dysfunction (PTTD) and flexible flat foot. The PT Controller orthotic is the solution for excessive pronation,...
SUPER STRETCH COMPRESSION SOCKS
Sugar Free Sox has launched its new product, Super Stretch Compression socks, which have 26-inch stretch while maintaining therapeutic graduated compression. They are designed to help reduce ankle and foot swelling and avoid leg fatigue and aches. In addition to...
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