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【目的】探讨万向锁定加压钢板与克氏针结合外固定支架对老年绝经期骨质疏松性桡骨远端C型骨折短缩程度及关节功能的影响。【方法】将80例骨质疏松性桡骨远端C型骨折患者随机分为A组40例和B组40例，A组行万向锁定加压钢板固定治疗，B组行克氏针结合外固定支架固定治疗。术后20周比较两组患者桡骨远端短缩程度、腕关节功能恢复情况。【结果】术后20周两组患者桡骨远端短缩程度比较差异有统计学意义（ P＜0．05）；术后20周两组C1型、C2型骨折患者术后腕关节功能恢复情况比较差异无统计学意义（ P ＞0．05），B组C3型骨折患者术后20周Gartland‐Werly评分显著高于A组（ P ＜0．05）。【结论】对于C1型、C2型桡骨远端C型骨折患者，可以选择万向锁定加压钢板或克氏针结合外固定支架；而对于严重的C3型骨折患者，克氏针结合外固定支架效果更佳。“,”[Objective] To explore the effects of distal radius shortening degree and joint function between universal locking compression plate and Kirschner wire plus an external fixator in the treatment of elderly post‐menopausal osteoporosis with C distal radius fractures .[Methods] A total of 80 cases of elderly postmenopa‐usal osteoporosis C distal radius fractures were randomly divided into two groups according to different surgical methods .Group A ( n =40) received universal locking compression plate while group B ( n = 40) had Kir‐schner wire plus external fixation .The distal radius shortening degree and wrist joint function recovery of two groups were compared at 20 weeks post‐operation . .[Results] The inter‐group differences of shortening of distal radius were statistically significant at 20 weeks post‐operation ( P0 .05) .And the Gartland‐Werly score of C3 type in group B was significantly higher than that of group A ( P <0 .05) .[Conclusion] Universal loc‐king compression plate and Kirschner wire plus an external fixator may be efficacious in the treatment of post‐menopausal women with osteoporosis C1/C2 distal radius fractures .Yet for severe type C3 fracture ,Kirschner wire plus an external fixator offers better outcomes .