Abstract:[Objective] To introduce the surgical technique and preliminary clinical results of closed reduction and percutaneous inter- nal fixation with modified distracting cannulated screws for calcaneal fractures. [Methods] A total of 24 patients received closed reduction and percutaneous internal fixation with modified distracting cannulated screws for calcaneal fractures. Firstly, the length, width and angle of the calcaneus were initially restored by the traditional osteopath technique combined with needle prying, and the articular surface was ac- curately reduced. As two guide pins were inserted percutaneously, two suitable modified distracting cannulated screws were selected and in- serted following the guide pins for percutaneous fixation, which further reduced the fracture compression by the anteroposterior thread spac- ing difference of the screws. Zhang Tie-liang foot function scoring system was used to evaluate the outcomes. [Results] All 24 patients (24 feet) had operation performed successfully, and were followed up for 10~25 months. No complications, such as infection, bone nonunion and traumatic arthritis were found in anyone of them. According to Zhang Tie-liang foot function scoring, 4 cases were marked of 100 points, 7 of 99 points, 8 of 97 points, 1 of 93 points, 2 of 85 points, and 2 cases of 69 points. The excellent and good rate was of 91.67%. [Conclusion] The closed reduction and percutaneous internal fixation with modified distracting cannulated screw for calcaneal fractures have the advantages of less trauma, fewer complications and good curative outcomes.