96 patients with a displaced, intraarticular calcaneal fracture were randomized to either a percutaneous reduction and cannulated screw fixation or a minimally invasive sinus tarsi approach for plate and screw fixation. The purpose of this study was to compare functional and radiological outcomes between the two treatment options over a 24-month follow-up. American Orthopaedic Foot and Ankle Society scores overall did not significantly differ between groups, though the subscales of sagittal motion and hindfoot motion significantly favoured the percutaneous reduction and cannulated screw fixation group. With the exception of calcaneal width, groups did not significantly differ in radiographic parameters, either.