Comminuted fracture of the heel bone can be treated conservatively or surgically, which should be analyzed according to the condition. 1. Conservative treatment: for comminuted calcaneal fracture, if the collapse and displacement are not obvious, and the angle of heel distance is well maintained, the fracture can be firstly repositioned by manipulation, and after repositioning, it can be externally fixed by plaster or brace, and rested by braking until the fracture is completely healed, and during the resting period, it is necessary to carry out the functional training, so as to avoid the atrophy of muscles. 2. Surgical treatment: if the manipulation fails or the heel bone is obviously displaced, surgical treatment should be considered, and according to the condition, we can choose incision reduction internal fixation or closed reduction internal fixation, and local bone grafting is needed to restore the anatomical structure of the heel bone and the height of the foot arch if necessary. Rehabilitation training should be carried out under the guidance of the doctor after surgery. Comminuted fractures of the heel bone are relatively slow to heal, and early weight-bearing should be avoided.