To investigate the influence of the efficacy and prognosis of different methods for treating calcaneal fractures. 80 patients with calcaneal fracture were selected as research objects, and they were divided into two groups according to the random number distribution method. Group A was treated with percutaneous prying reduction combined with limited incision titanium plate fixation, while Group B was treated with external "L" incision reduction and internal fixation on the foot. Compare various indicators such as postoperative complications between the two groups of patients. The results show that There is no statistically significant difference in Bohler angle, calcaneal width, Gissane angle, and Maryland foot function scores between the two groups before and after surgery (P > 0.05). Compared within the group, after treatment, the width of Bohler, Gissane angle, and middle part of the calcaneus in the two groups of patients are higher than before treatment, with statistically significant differences (P < 0.05). There are significant differences in treatment time, intraoperative bleeding volume, and incidence of postoperative complications between the two groups (P < 0.05). In the treatment of calcaneal fractures, two different methods are compared and analyzed. The percutaneous prying and pulling technique fixation treatment can achieve satisfactory anatomical reduction, and is stable and reliable. The tarsal sinus approach has less trauma than the lateral L-shaped incision approach, which can effectively avoid the occurrence of skin edge necrosis and infection, and is more conducive to improving the clinical efficacy of patients.