Aim and objectives: The present study assessed the functional outcome with various methods of management of intra-articular fracture of calcaneum. Materials and method: This prospective randomized clinical study assessed the functional outcome with various methods of management of intra-articular fracture of calcaneum. The study was conducted on acute fracture of calcaneum admitted and treated in Muzaffarnagar Medical College, Muzaffarnagar UP. The student t-test was used for comparing the mean values between the 2 groups whereas chi-square test was applied for comparing the frequency. The p-value was considered to be significant when less than 0.05. Results: The mean age of the study population was 45.90±20.57 (range = 11-80) years. There were 9 (30.0%) females and 21 (70.0%) males among the study population. Ankle Society (AOFAS) Ankle Hindfoot scoring system was significantly more among Surgical treatment compared to the Conservative treatment. The mean Bohler Angle 3 months post-operatively and 6 months post-operatively was significantly more among Conservative treatment compared to Surgical treatment. Wound-healing complications were significantly more among Surgical treatment compared to the Conservative treatment. Conclusion: The reason behind the improved results with open reduction and internal fixation in our series may be due to less traumatic techniques and stronger but malleable implants. Also locking plates for calcaneum decrease the need for bone graft, allow early weight bearing and it provides rigidity especially in osteoporotic cancellous bone.