The treatment of metatarsal head 234 fracture needs to be based on whether it is open trauma and the degree of fracture damage to take different treatments, generally closed injury is less serious can be taken to conservative treatment, including avoiding lower limb weight-bearing walking, plaster immobilization, the use of drugs to reduce swelling and relieve pain and so on, when the injury is more serious or open trauma need to be taken to surgical treatment. 1. Closed trauma: the skin is not broken, the fracture end is not connected to the outside world, if the fracture is not obviously displaced, it is a stable fracture, conservative treatment can be chosen, including avoiding weight-bearing walking on the lower limbs, immobilizing with plaster or brace for 6 to 8 weeks, and using medicines to reduce swelling and pain, such as MaiZhiLing and Loxoprofen. If there is obvious displacement of the fracture end, surgery is needed to restore the continuity of the metatarsal bone. 2. Open trauma: the skin is broken and the fracture end is connected to the outside world. At this time, the wound is easy to be infected, no matter whether the fracture is obviously displaced or not, it is necessary to operate in a timely manner for debridement and trimming of damaged soft tissues to avoid tissue necrosis. If the fracture damage is light, postoperative plaster fixation and other methods of conservative treatment can be taken. If the fracture is severe, one-stage fixation or two-stage fixation can be performed according to the situation. It is recommended to go to the hospital in time to improve the relevant examination, according to the damage situation for further treatment.