Landmines seriously impact the lower extremity. Jacobs described the landmine foot and outlined its management. The author is from Oshakati State Hospital in Namibia.


Patient selection: following landmine injury to the feet without amputation


The sole of the foot shows:

(1) extensive scarring without tenderness

(2) patchy pigmentation (in dark-skinned individuals)

(3) distorted anatomy for the plantar fat pads


Fibrosis and scarring within the foot affects:

(1) the instrinsic muscles of the foot

(2) the long toe flexor tendons, resulting in a claw toe deformity

The foot may become stiff and inflexible.


The joint and bones of the foot show distorted anatomy with combination of:

(1) calcaneal fractures

(2) subtalar joint ankylosis

(3) fractures of the talus

(4) fractures of the navicular bone

(5) destruction of the longitudinal and transverse foot arches resulting in a stiff flat foot


Usually the foot shows:

(1) an adequate circulation

(2) preservation of skin sensation

(3) an absence of trophic ulcers


Problems associated with landmine foot:

(1) impaired mobility

(2) callosities


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