Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.The calcaneus is one of the most complex bones in the human body. If fractured, restoration of its anatomy is demanding. Displaced fractures may have permanent consequences affecting both daily living and work activities of the patient. Good clinical results could be obtained with surgical treatment. The indications for open reduction and internal fixation (ORIF) of the calcaneus remain controversial. The best indication is an intra-articular fracture with displacement of the posterior facet in a young, active patient with no medical problems. Middle-aged patients should be considered surgical candidates based on their lifestyles and fracture patterns. Surgery also improves the functional result in less active patients if the fracture displacement produces significant widening or shortening of the heel. The basis for the Sanders classification, which has been predictive of outcome, is the ease of reduction and fixation through the lateral approach. In this video, we explain the evaluation of calcaneus fractures, the guidelines for management in relationship to the severity of the fracture, and methods of avoiding surgical problems related to the lateral approach.