Purpose: To review the techniques and outcomes of percutaneous fixation, with the modified Essex-Lopresti technique, in isolated displaced tongue-type calcaneal fractures.Methods: This is a retrospective review of 24 patients who received percutaneous calcaneal screw fixation in our hospital, from April 2004 to June 2008. One patient had bilateral fixation performed. All patients had a serial of x-rays of the injured foot, which included antero-posterior, axial, lateral and Broden’s views. Pre-operative and post-operative Bohler’s and Gissane’ s angle were measured. The patients’ conditions were continuously assessed in serial follow-ups and the Maryland Foot Score was used to evaluate the clinical outcome.Results: Bohler’s and Gissane’s angle were fully restored in 13 and 17 out of 25 fractures respectively. The mean duration of post-operative hospital stay was four days. There were no major post-operative complications. Sixteen patients were able to resume their original jobs. The Maryland Foot Score rated thirteen out of twenty-five injured limbs (52 percent) as excellent, nine (36 percent) as good, and three (12 percent) as fair. There were no patients rated as poor. The three patients with fair results complained of pain and stiffness at the subtalar joint.Conclusion: Percutaneous fixation of displaced tongue-type calcaneal fractures is an effective treatment with acceptable clinical outcome, short hospital stay, minimal skin complications and quick recovery.