(Disclaimer: This article is for scientific purposes only, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: A 32-year-old male patient fell from a height of 3 meters and landed on his left heel, followed by severe pain and obvious swelling of his left heel and limitation of activity, unable to walk normally. He was admitted to the hospital and initially diagnosed with a heel fracture on the left side, and was treated with internal fixation of the heel fracture with incision and reduction of the plate, which was effective, the fracture was well repositioned, and the function of the foot was gradually recovered. Basic information] Male, 32 years old [Disease type] Achilles fracture [Hospital] Liaocheng City Second People’s Hospital [Time of consultation] January 2022 [Treatment plan] Surgery (Achilles fracture osteotomy plate internal fixation) + Intravenous (flurbiprofenac sodium injection, cefazolin sodium injection) + Oral medication (heptadecyl saponin sodium tablets) [Treatment cycle] Hospitalized for 14 days, 1 month. Review after hospitalization 【Treatment effect】Fracture is well repositioned, and foot function is gradually recovered I. Initial consultation The patient is a male, 32 years old, who was admitted to the emergency room of the Department of Orthopaedic Surgery with pain on his face, and was carried into the emergency room of the Department of Orthopaedic Surgery with a stretcher, and asked about his history, the patient fell from a height of 3 meters in the process of working in the construction site, and his left heel landed on the ground, and he had a sharp pain in the injured area after the injury and was not able to stand, and the activities of his heel were restricted, and he was not able to walk normally. The patient was rescued by workers on a stretcher and rushed to our hospital for medical treatment. On visual examination, the patient was found to have obvious swelling and deformity of the left heel, and a light touch on the heel could cause severe pain, which was considered to be a possible heel fracture. The patient was given an external fixation of the left ankle brace and a cold compress wrapped in an ice bag and towel, and the left calcaneal axial and lateral radiographs were taken, which showed the left calcaneal fracture. Explaining the X-ray results to the patient, the patient was told that the left heel bone was fractured, the fracture dislocation was obvious, the patient was relatively young, and the possibility of chronic pain caused by traumatic arthritis of the ankle was greater with conservative treatment, which might affect the patient’s ability to engage in heavy labor in the future, and the patient agreed to the surgical treatment, which the patient agreed to. After admission, the patient was given elevation of the affected limb, the left heel localized ice packs for 24 hours, the application of hepatic saponin sodium tablets orally to reduce swelling, and flurbiprofen ester injection slowly pumped to relieve pain. On the 2nd day of admission, the patient completed the laboratory tests such as blood routine, coagulation six items, preoperative four items, and actively prepared for surgery. On the 7th day of admission, the patient was treated with internal fixation of heel fracture with cut-and-replace plate under combined hard-lumbar anesthesia. Cefazolin sodium injection was used to prevent infection for 24 hours after the operation, and the patient was instructed to take the initiative to practice flexion and extension of the left ankle joint and the toes of the left foot after 72 hours. The patient’s incision healed well 14 days after surgery and the stitches were removed successfully. After the operation, the fracture of the heel bone was well repositioned and firmly fixed, and the patient was discharged from the hospital. When the patient came to the hospital for review one month after discharge, the swelling of the left heel subsided, the function of the left toes and the left ankle joint flexion and extension activities returned to normal, and the radiographs showed the formation of local bone crust. The patient was advised to practice partial weight-bearing activities on crutches (i.e., toes on the ground). When the patient came to the hospital for review 3 months after discharge, the fracture was basically healed and the function of the left ankle was basically restored to the pre-injury level. At this time, the patient was instructed to gradually start full weight-bearing activities of the left lower extremity and to engage in a certain degree of physical activity, and could engage in heavy physical activity after another 3 months. Note: We are glad that the patient was discharged from the hospital with the fracture reset, but the patient needs to pay attention to the most common complication of heel fracture surgical treatment is poor healing of the incision, and the daily bad habits can play an important role in the impact, such as smoking, which can cause local vasoconstriction of the wound, resulting in ischemia of the skin around the wound and skin necrosis, so we suggest that the patient to quit smoking, avoid weight-bearing limbs for one month, and avoid engaging in heavy physical labor for six months after the operation until the fracture is completely healed. Avoid weight-bearing on the limb for 1 month and avoid heavy labor for 6 months after surgery until the fracture is completely healed. V. PERSONAL INSIGHTS In this article, the patient experienced localized severe pain, swelling, and activity limitation in the ankle after falling from a high place with direct violent trauma, and the clinic needs to consider the possibility of heel fracture in the patient, and the patient needs to actively seek medical attention to clarify the injury in order to obtain standardized therapeutic measures. Conservative treatment is suitable for those with insignificant dislocation and stable fracture ends, and plaster immobilization is required. If the heel fracture is dislocated, the chance of arthritis and chronic pain is higher, especially in young patients, and surgical treatment is recommended.