Heel traction is a special treatment for distal tibiofibular comminuted fractures, and this treatment is in preparation for future surgery. Secondly, the care of the heel traction must pay attention to the skin care around the traction pin and regular alcohol care to prevent infection of the skin and soft tissues. Then the heel bone should not be traction force is too large, traction force is too large will lead to the fracture of the heel bone, as well as traction pin from the heel bone of the bone slip, etc.. The most important care for the family includes whether the traction weight is blocked by foreign objects, whether the traction arch can play the role of traction, and to observe whether the patient has local pain aggravation after traction, if there is local pain aggravation, the doctor should be informed in time.