LER Cover Story:

Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments

Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.

By Mathias B. Forrester, BS

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Feature Articles

Proper Diabetes Care Can Reduce Rising Lower Extremity Amputation Rates

Proper Diabetes Care Can Reduce Rising Lower Extremity Amputation Rates

In a recent article in the Philadelphia Inquirer, reporter Stacey Burling wrote, “Amputation rates among people with diabetes in the United States dropped for about 15 years, but recent reports issued by the U.S. Centers for Disease Control and Prevention highlight a disturbing trend: Amputation rates have been rising in people under 65 with diabetes since 2009.

By Mark Hinkes, DPM

To Improve Patient Outcomes, Measure What Matters

To Improve Patient Outcomes, Measure What Matters

Mobility and balance deficits in patients with lower extremity impairments are significant factors for decreased quality of life. To improve outcomes for these patients, clinicians need measures that are evidence-based and scientifically validated; in other words, there is a need to measure things that matter.

By Michael Rowling, BS

Foot and Ankle Surgery: A “Minimal” Future

Foot and Ankle Surgery: A “Minimal” Future

Before pronouncing what I predict will be the single most significant change in foot and ankle surgery in coming years, it’s essential to look back. I asked an orthopedic colleague what he thought the most significant change in orthopedics was over the past 25 years, and he replied, “locking plate technology.” I agree.

By Patrick A. DeHeer, DPM

OUTCOMES COULD BE AFFECTED: Is Reimbursement Reduction Imminent for Most Off-the-Shelf Braces?

OUTCOMES COULD BE AFFECTED: Is Reimbursement Reduction Imminent for Most Off-the-Shelf Braces?

My perspective on the future reflects my professional interest in lower-extremity injuries and conditions that can be treated by knee braces and by ankle-foot and knee-ankle-foot orthoses. An aging population and other market demographics seem to indicate there is an increasing need for braces; new manufacturing methods, including interesting composite materials and 3D printing, seem to point toward a future of technical innovation.

By Rick Riley

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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

MULTIMOTION HIP ABDUCTION SYSTEM

MULTIMOTION HIP ABDUCTION SYSTEM

The MultiMotion Hip Abduction System from Allard is a nighttime treatment for correctable pediatric hip contractures. The system consists of two components: the MultiMotion Corrective Joint and the Abduction Bars. These two components are mounted to a...

TULI’S SO SOFT HEEL CUPS

TULI’S SO SOFT HEEL CUPS

Tuli’s So Soft Heel Cups from Medi-Dyne are designed to provide relief for common ailments such as plantar fasciitis, Achilles tendonitis, shin splints, and general heel pain and discomfort. The multi-cell, multi-layer design absorbs shock and returns impact energy...

ETECH_RX

ETECH_RX

KLM Laboratories continues to use innovation to help footcare practitioners meet the ever-changing podiatric needs of patients with the introduction of the eTech_Rx, a new, cost-efficient custom prescription orthotic device. The eTech_Rx is a direct milled...

DIGITIZED WOUND MANAGEMENT

DIGITIZED WOUND MANAGEMENT

Healthy.io is a company dedicated to turning smartphone cameras into clinical medical-grade devices. New from Healthy.io is a digital wound management solution. With a smartphone app and 2 calibration stickers placed around the wound to track dimensions, medical staff...

ZENTOES GEL TOE SEPARATORS

ZENTOES GEL TOE SEPARATORS

ZenToes Gel Toe Separators are designed to provide pain relief from bunions and overlapping toes by gently realigning and straightening the big toe. A soft, flexible gel toe ring conforms to the user’s toes, allowing the user to stand or walk for longer in comfort....

ROBOTIC EXOSKELETON FOR SKIING

ROBOTIC EXOSKELETON FOR SKIING

Roam Robotics has introduced Elevate, a new robotic exoskeleton that allows skiers with bad knees to conquer the slopes without knee pain. The exoskeleton is made of plastic and high-strength fabrics. The pneumatically powered unit attaches to the thigh and the ski...

ANTI-CHAFE BODY LUBRICANTS

ANTI-CHAFE BODY LUBRICANTS

Body Glide offers plant-derived skin products that repel water and perspiration that contribute to the rubbing that causes irritation, chafing, foot blisters, and raw skin. The product line includes Body (the original anti-chafe, anti-blister balm), Foot Glide...

SELECTFLEX ORTHOTICS WITH ADJUSTABLE ARCH TECHNOLOGY

SELECTFLEX ORTHOTICS WITH ADJUSTABLE ARCH TECHNOLOGY

Alliance Design & Development Group (ADDG) has pioneered what it describes as the first and only orthotics with adjustable arch technology. ADDG engineered SelectFlex insoles to help prevent the many ailments that often afflict those who work on their feet all...

NEORELIEF FOR PAIN

NEORELIEF FOR PAIN

NeoRelief for Pain is a 97% natural pain relief gel with specially formulated botanicals and minerals, providing an alternative to NSAIDs and/or narcotics. The topical gel is gentle, clear, non-staining, and odorless; it is easily absorbed and alcohol free. NeoRelief...

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