Chronic heel ulcerations in the insensate or bedridden patient have always been a difficult and frustrating condition to cure. When complicated by osteomyelitis, the patient must often resort to below-the-knee amputation. Presented here is a case report of the use of partial calcanectomy and primary closure for the treatment of osteomyelitis of the os calcis with ulceration. A discussion of indications, technique, and results is given.