 Calcaneal osteomyelitis, OM, is a difficult condition to treat due to the risk of infection spreading to other parts of the body. This study examined five cases of calcaneal OM who underwent a two-stage procedure involving radical sequestration, antibiotics, and fixation of the foot in a favorable position with an eliziroth fixator. After the initial treatment, the foot was then reconstructed using transausteous osteosynthesis and arthritis. All five patients experienced complete resolution of the infection and no recurrences were observed over the follow-up period of one to six years. This study suggests that eliziroth distraction osteogenesis and transausteous osteosynthesis can be used to successfully treat calcaneal OM. This article was authored by Basim Hamad Harasha, Asim Al-Mijali, Radal Zaban, and others.