Fractures of the distal tibia with loss of toe grip are usually associated with soft tissue infections, necrosis, osteoarthritis, and traumatic arthritis. Fractures of the distal tibia usually occur as a result of direct violence, such as vehicle collisions, kicks, heavy blows and crushing injuries, or indirect violence, such as sprains and falls from heights. Patients often have multiple injuries that are difficult to treat and are prone to localized soft tissue necrosis, infection, malunion, and malunion. In addition, it can lead to traumatic arthritis, which can lead to poor toe grip and requires prompt medical attention. When a distal tibia fracture occurs, the fracture site needs to be immobilized in a plaster cast to prevent further development of the fracture, thus promoting the recovery of the distal tibia. If the symptoms are more serious, surgical treatment, such as ankle fusion, is needed. Infections can be treated with amoxicillin, ceftazidime and other anti-infective drugs under the guidance of the doctor. Usually after the distal tibia fracture, it is recommended to consult an orthopedic surgeon in time, under the guidance of the doctor for treatment.