Introduction:The treatment of intraarticular fractures of the calcaneus remains controversial. Different approaches and methods of fixation are used aiming at anatomical reduction and achieving good functional outcome. Patients and methods: 30 patients with 33 fractures with mean age 33.5 years presenting to level 1 trauma center were included; 31 fractures were classified as joint depression fractures and 2 were classified as tongue type fractures. There were 15 fractures classified as Sanders II and 18 fractures were classified as Sanders III. All patients were managed by limited open approach and direct reduction of the articular surface followed by indirect reduction and percutaneous fixation of the extraarticular part guided by fluoroscopy.Results: The mean AOFAS ankle/ hindfoot score was 91.73 and the mean Maryland foot score was 95.09. The mean follow-up duration was 20.9 months. Complications included superficial wound infection in one case and sural nerve dysthesia in one case which was treated conservatively. Complex regional pain syndrome (CRPS) in seven cases, all responded well to physiotherapy and pregabalin.Tenderness at screw site in seven cases which were treated by removal of screws.The time elapsing between the trauma and operation was found to correlate significantly to AOFAS ankle / hindfoot score and Maryland foot score.Conclusions: Our approach compares similarly or favorably to the approach adopted by Weber et al.( limited open reduction and internal fixation ) & Tomesen et al ( closed reduction and percutaneous fixation) for treatment of Sanders’ II and III fractures.