The distal radius fracture is one of the most common fractures in clinical practice and is most commonly seen in the elderly, especially in older women. During the conservative treatment of crushed distal radius fractures, the radius is often prone to re-shortening, resulting in deformity of appearance, functional limitation and later osteoarthritis, resulting in unsatisfactory results. I used the method of external fixation with a small splint and suspension traction to treat patients with distal radius fractures with satisfactory results. The method: 1) Correction of the fracture with a small splint external fixation. 2) Local infiltration anesthesia with lidocaine. Steps of manual revision: ① Correct the shortened displacement. The patient was placed in a supine position, relaxed and breathing deeply; the affected shoulder joint was abducted, flush with the trunk, and the forearm was at an angle of 90° with the upper arm; the assistant held the proximal end of the forearm of the affected limb with both hands and pulled and stretched with force, and the operator held the distal end of the forearm of the affected limb with both hands and pulled and stretched with force with the assistant in the opposite direction until the fracture insertion and separation was felt under the operator’s hand, for 1~2 min. ② Correction of dorsal displacement of the palm. After the shortening deformity is satisfactorily corrected, traction is maintained. If the fracture is dorsal extension displacement, the operator holds the distal end of the fracture with the index finger and thumb and flexes the distal end of the fracture to the palmar side to correct the dorsal extension deformity; if the fracture is palmar flexion displacement, the distal end of the fracture is flexed to the dorsal side to correct the palmar flexion deformity. (iii) Restoration of ulnar deviation angle. The distal end of the fracture is flexed to the ulnar side to restore the ulnar deviation angle of the distal radius. (iv) Resetting the lower radial-ulnar joint. The operator maintains traction with one hand and pushes the distal ulna to the radius with the other hand to restore the structure of the inferior ulnar-radial joint. After satisfactory repositioning, four splints were given to the palmar, dorsal, radial and ulnar sides for external fixation, so that the dorsal and radial splints exceeded the wrist joint, the palmar and ulnar splints reached the transverse wrist line, and all four splints did not exceed the elbow joint and reached 5 cm distal to the transverse elbow line. According to the direction of fracture displacement, appropriate pads were placed to increase the fixation effect. During the first week after manual revision, due to the serious swelling of the limb, the end of the affected limb should be closely observed for sensory blood flow and the splint tightness should be adjusted according to the degree of swelling of the limb to avoid too loose or too tight splints. Immediately after splint fixation, fist clenching exercise should be started, and functional exercise of elbow, shoulder and wrist should be carried out gradually according to the patient’s recovery. If the swelling and pain of the affected limb increases and muscle fatigue occurs, continue suspension traction after appropriate rest; gradually increase the suspension weight to 4-5 kg after the patient adapts and muscle strength increases, and extend the suspension time to continuous suspension except for sleeping time. The suspension time is extended to continuous suspension except for sleeping time. The suspension was discontinued after the splint was removed from the external fixation. Most of the extra-articular or simple intra-articular distal radius fractures can achieve good fracture alignment and restore normal anatomy through manipulation, but some of these fractures may re-shorten the fracture end of the radius during conservative treatment. There are three factors that lead to radial re-shortening: (1) the degree of comminution of the original fracture end. The more comminuted the original fracture end is, the more unstable the fracture is after repositioning, and the greater the chance of radial shortening; (ii) the contraction force of the axial muscle groups of the limb. The contraction of the wrist flexor and extensor muscle groups will produce a certain axial pressure, and this axial pressure will lead to radial shortening due to the instability of the fracture end of the radius. (iii) Osteoporosis. Osteoporosis in advanced age is also an important reason for the occurrence of radial shortening. Radial shortening has a huge impact on the function of the wrist joint. Radial shortening causes changes in the normal anatomical correspondence of the distal radial-ulnar joint, joint incongruity, and changes in the contact stress of the joint surface, while increasing the tension of the triangular fibrocartilage conforming to the body, resulting in instability of the distal radial-ulnar joint; radial shortening inevitably causes a relative increase in the length of the ulna, resulting in changes in the longitudinal load conduction mode and a shift of the stress center to the ulnar side, which It increases the load on the ulnar bone; too much radial shortening and relatively too long ulna will impact the articular surface of the lunar bone and cause degenerative changes of the articular cartilage. If the radial shortening is more than 4 mm, there will be significant changes in wrist joint contact position and contact stress, which will change the load transmission of wrist joint and cause degenerative changes of articular cartilage, and affect the stability of wrist joint. Therefore, prevention of radial re-shortening after resetting of severely comminuted and osteoporotic distal radius fractures is one of the key points to ensure the efficacy of conservative treatment. However, it is difficult to prevent the occurrence of radial reshortening by applying traditional fixation methods, no matter how high the technique of plaster or splint external fixation is; because plaster or splint external fixation can only provide effective lateral pressure to maintain the fracture block of the distal radius in the palmar tilt ulnar deviation position, but cannot effectively counteract the axial pressure of the limb. We used a small splint external fixation with suspension traction to prevent the radius from re-shortening. First, we performed the traditional manual repositioning splint external fixation to restore good alignment of the fracture and applied effective lateral pressure on the fracture end by means of a small splint with proper padding technique to keep the wrist joint in a palmar-tilted, ulnar deviated position so that the fracture could maintain its normal anatomic position of palmar-tilted, ulnar deviation. Continuous traction on the fracture end is then achieved by hand-held weights with the affected limb down against the axial pressure of the limb to prevent re-shortening of the radius. We believe that the treatment of distal radius fracture by external fixation of small splints with suspension traction can effectively counteract the axial pressure of the limb and prevent radius shortening to a certain extent, but also does not require any limb puncture, is completely noninvasive, does not restrict the patient’s activities, can walk freely, is highly acceptable, is simple and easy to implement, is easy to promote, reflects the characteristics of simplicity, convenience and cheapness of Chinese medicine orthopedics, and provides a new idea for the treatment of distal radius fracture by small splints in Chinese medicine. It provides a new way of thinking for the treatment of distal radius fractures in the elderly.