Introduction: This study evaluates the feasibility, effectiveness, and challenges of open reduction and internal fixation (ORIF) with plating for calcaneal fractures in resource-limited settings. It assesses functional and radiological outcomes, identifies challenges like limited resources. Material and Methods: This study evaluates patients with displaced calcaneal fractures who underwent open reduction and internal fixation (ORIF) with plating at a tertiary care center. Using Sanders classification, fractures were categorized based on preoperative clinical and radiological assessment (X-rays and CT scans). Inclusion criteria included adults aged 18-60 years with displaced fractures.Results: Between June 2022 and December 2023, 19 patients with 31 calcaneal fractures were treated. The majority were male (87.5%) with a mean age of 32.6 years. Clinical outcomes showed 90% had mild to no pain, 95% had no gait abnormalities, and 86% achieved good to excellent functional results with significant radiological improvements.Conclusion: Open reduction and internal fixation (ORIF) for intra-articular calcaneal fractures effectively improves clinical and radiological outcomes, restores joint alignment, reduces pain, and preserves mobility. Despite complications in comminuted fractures, ORIF remains reliable, with early intervention and rehabilitation essential for optimal recovery.