Patients with minor heel fractures usually do not get arthritis, but arthritis may occur if the fracture is comminuted. 1. If the fracture of the heel bone does not involve the articular surface, it is a simple fracture. In this case, the fracture is reset by manipulation, and arthritis usually does not occur after the fracture has healed. 2. If the fracture is a comminuted fracture with destruction of the articular surface, traumatic arthritis is more likely to occur if the fracture is not surgically repositioned. Even if the fracture is surgically treated with incision and internal fixation, traumatic arthritis may still occur after the fracture heals in the future, with degeneration of articular cartilage, joint deformation, and serious impact on joint activities. Whether or not arthritis occurs in heel fracture depends on the degree of fracture damage or the treatment method.