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
