I recently had to figure this out for myself and ended up on a solution inspired by @Zahymaka 's answer, but solving the 2x looping of the array.
What you can do is create an array with all your keys, in the order they exist, and then loop through that.
$keys=array_keys($items);
foreach($keys as $index=>$key){
echo "position: $index".PHP_EOL."item: ".PHP_EOL;
var_dump($items[$key]);
...
}
PS: I know this is very late to the party, but since I found myself searching for this, maybe this could be helpful to someone else