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
Brace Yourself: Everything You Need to Know About AFOs After Stroke
When you’re in the middle of a major medical crisis, there can be a lot of information to process. And what if you’ve never even heard of an ankle foot orthosis (AFO), don’t know what it’s for, how it works or how to use it. I’ve been there. (But as LER Magazine’s editor, I had heard of an AFO.) I recently had a completely unexpected medical emergency that resulted in an extended hospital stay, physical therapy and a physical therapist handing me an AFO and saying, “Try this.”
By January Shoaf, ler Magazine Editor
The Beginning of a Movement: How CLIF 2025 and the MAPS Initiative Are Shaping the Future of Limb Preservation
Each year, hundreds of thousands of Americans lose a limb due to non-traumatic amputation, most of which could have been prevented. Peripheral artery disease (PAD) and its most severe form, critical limb-threatening ischemia (CLTI), continue to devastate lives, particularly among…
By Dr. Laiq Raja, MD, FACC, FSCAI, Interventional Cardiologist and Endovascular specialist, Founder of The Limb Savers Society 501 c(3) Non-profit organization and the CLIF Conference.
Funding Cuts Threaten Both the Health of Patients and the Profession
Over the course of my career, I have operated at the crossroads of bioengineering and clinical orthotics, a combination that has provided me with a unique perspective on addressing challenges in prosthetics and orthotics. I collaborated with Georgia Institute of Technology to develop the curriculum for the first Master of Science in Prosthetics and Orthotics program.
By Géza F. Kogler, Ph.D, CO
Early Assessment and Intervention for Acquired Adult Flatfoot and PTTD
Early assessment and intervention of acquired adult flatfoot, particularly concerning Posterior Tibial Tendon Dysfunction (PTTD) is essential. I’ll be discussing proactive management, emphasizing the importance of early intervention, comprehensive foot assessment, and the strategic application of orthotic devices to prevent the progression of PTTD and improve long-term patient outcomes.
By Dr. James McGuire DPM, LPT, LPed, FAPWHc
Management of Charcot Soft Tissue Complications
Charcot neuroarthropathy is a complex condition that often leads to considerable challenges due to its complex nature. One primary concern is the management of soft tissue complications, including chronic wounds and surgical dehiscence, which are prevalent among Charcot patients. These complications can significantly impact limb functionality and…
By Kelsey Millonig, DPM, MPH, FACFAS, DABPM, DABFAS
Lower Extremity Injuries Caused by Falls Treated at Hospital Emergency Departments
Falls are a major public health concern, causing millions of injuries in the United States (US) each year. A portion of injuries caused by falls are likely to involve the lower extremity. The objective of this study was to describe lower extremity injuries caused by falls treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
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ShortTakes From the Literature
Predictors of CAI in Soccer Players
Chronic ankle instability (CAI) is prevalent among soccer players, often...
High-Intensity Training Vs. Moderate-Intensity Training in Sedentary Women
Regular physical activity is essential for improving cardiovascular health and...
Mechanical Properties of Achilles Tendon and Plantar Fascia in Patients with History of DFU
Diabetic foot ulcers (DFU) are a major complication of diabetes, often leading...
Optimized Nerve Management with Electrical Stim for Lower Extremity Neuroma
Nerve injury is the most common complication following foot and ankle surgery,...
Youth Soccer Lower Extremity Injuries Presenting to US Eds is Decreasing
Data from the National Electronic Injury Surveillance System were analyzed for...
Impact of Exercise in Patients with Diabetic Peripheral Neuropathy
Diabetic peripheral neuropathy (DPN) is a common and serious complication of...
Long Term Outcomes After Flexor Tendon Tenotomy of the Diabetic Foot
Hammertoes are one of not the most common deformities that afflicts the...
MTPD due to HADHA Variants Masquerading as Charcot-Marie-Tooth Disease
Mitochondrial trifunctional protein deficiency (MTPD) is an inherited disorder...
A Foot Forward for Optimum Health
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Industry News & Updates
Researchers Using Continuous-Fiber 3D Printing to Produce Pediatric Prostheses
George Mason University, Fairfax, Virginia, researcher Quentin Sanders is part...
Trulife Receives 2025 Hanger Partner Award for Operational Performance
Trulife has been awarded the 2025 Hanger Partner Award for Operational...
Noninvasive Spinal Stimulation Enables Patients with Paraplegia to Regain Stepping Control
Spinal cord injury (SCI) rostral to the lumbar locomotor center disrupts...
Plant Compound Found to Treat Diabetic Wounds, Foot Ulcers
Researchers at the Nagaland University in India have identified a naturally...
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Robotic Assistance in Cementless TKA Does Not Improve 2-Yr Revision Rates
As the use of robotic assistance in total knee arthroplasty (TKA) has grown, there has been...
AI Chatbots Provide Inconsistent Accuracy for Musculoskeletal Health Information
Researchers agree: Orthopaedic surgeons remain the most reliable source of information All...
Younger Age of Primary ACL Injury, Decreased Time to Return to Sport Significantly Increases Risk of Secondary ACL Injury in Adolescent Athletes
In adolescent athletes who underwent anterior cruciate ligament reconstruction (ACLR), the younger...
Understanding Who We Are Helping
Chronic conditions such as diabetes and peripheral vascular disease were the leading cause of...
Amputee Football Brings Soccer to Every Body
The US Amputee Football Federation (USAFF) provides participants with an environment and...
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
Athletic Ankle Brace
The Push Kicx Ankle Brace offers superior support for previously injured ankles and is ideal for sports such as soccer, basketball, and volleyball. The athletic ankle brace can also help reduce the risk of sprains in high-intensity activities. Its patented “Prophy-X”...
Resorbable Synthetic Wedges for Osteotomy Procedures
The Bioactive Pre-contoured Wedge (BPW) is the first fully synthetic, porous bioactive glass solution to come to market and is, specifically, designed with osteostimulation in mind. BPW is the first non-metal wedge that is classified as a device, prioritizing patient...
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Xtreme Rapid Relief: Hemp CBD for Achy Joints
Xtreme Brands Rapid Relief, available as a balm, a spray, and gummies, is designed to target areas where tension tends to build–feet, legs, shoulders, lower back. The balm contains 650 mg of hemp-derived cannabidiol (non-intoxicating CBD) plus a proprietary blend of...
Knee Resurfacing System
The OvertureTi Knee Resurfacing System is composed of femoral and tibial implants intended to be used in the partial replacement of the articular surfaces of the knee. These implants were designed with sizing options that allow the surgeon to replace only the diseased...
Truncal Pneumatic Compression Garment
AIROS® Medical recently launched expanded sizing for its truncal garments. These larger garment models grant more patients living with lymphedema-related abdominal and pelvic swelling access to pneumatic compression device-driven compression therapy that reduces edema...
Performance Socks
Balega performance running socks for runners, athletes, and other consumers living active lives, are available in several styles, sock heights, and designs that offer different levels of cushioning and compression to create a uniquely comfortable performance sock....
Lightweight Poured Polyurethane Insoles
DREAMCELL® VELO is an ultra-lightweight, poured polyurethane (PU) insole technology engineered to give athletes a powerful edge in speed, agility, and explosive energy return. The product outperforms traditional poured PU insoles with its ultra-lightweight and low...
Hiking Boots with Upgraded Technology
The Armadillo 3 is a complete upgrade to one of NORTIV 8’s most iconic hikers. Powered by SGS-certified Waterproof-Pro technology, it withstands more than 15,000 dynamic test cycles without seepage, crushing the static standards of its predecessor. A newly engineered...
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