Abstract: Objective:To evaluate hollow screw fixation with small incision in treatment of calcaneal intra-articular fractures.Methods:Twenty-five feet with calcaneal fractures were fixed by hollow screws with small incisions (4-6 cm) at the lateral side of the calcaneu.The changes of Bölher's angles of the calcaneus and the width of the calcaneus were observed before and after the operation.Results:The Bölher's angles and the width of the calcaneus changed significantly before and after the operation (P<0.01);the incision of all the cases healed at one stage with no infection;the follow-up lasted from 4 to 24 months.The effect was evaluated by Fernandez score standard,and the results were excellent in 16 cases,good in 7 and fair in 2.The excellent and good rates reached 92.0%.Conclusions:The procedure of hollow screw fixation with limited open reduction is safe and effective for treatment of calcaneal intra-articular fractures.