No fracture seems to be more controversial than intraarticular fracture of the calcaneus in term of treatment; operative or non operative, if operative, then which approach or approaches? Medial approach described by McReynolds12) has potential problem for injuring neurovascular structures and blind reach to posterior talocalaneal joint, which is most important spot to be fixed for good recovery. Lateral approach described by Palmer14) has some problem such as poor bone fixation due to cortical comminution and relatively poor visualization of all posterior subtalar joint. Combined medial and lateral approaches described by Stephenson21) have potentially high risk of soft tissue complication due to too extensive procedures. Authors have used posterior approach for open reduction and internal fixation for 10 cases of intraarticular calcaneal fracture with fairly good result as well as functional recovery. Advantages of the posterior approach are l. Anatomically simple location and no major structure can be damaged except sural nerve. 2. Good exposure to posterior talocalcaneal joint. 3. Easy reduction of articular fragments. 4. Good fixability of the fracture, especially thalamic fragment. 5. Less extensive soft tissue dissection and less chance of wound problem.