There are usually two treatment options after a heel fracture: the first is conservative treatment; the second is surgical treatment. Conservative treatment requires no significant fracture displacement of the heel bone, no loss of heel height, no significant change in the talus heel angle, and a smooth articular surface of the heel and talus bone, so that conservative treatment with external fixation in a cast can be considered. If the fracture height is lost, the fracture becomes wider, and the articular surface of the fracture is uneven, surgery is definitely needed. Surgery requires the formation of skin folds after the fracture swelling is eliminated in order to perform incisional internal fixation of the heel bone, because the skin flap at the heel bone is very susceptible to necrosis, and surgery must be performed only after the swelling has completely subsided.