To observe effect of TCM(Traditional Chinese Medicine) ironing on functional rehabilitation in elder patients with upper extremity fractures in middle and later stage. Methods: Eighty patients with upper extremity fractures(enrolled into our hospital from February 2012 to May 2015) were selected. They were randomly divided into observation group and control group with forty cases in each. The control group was treated by routine nursing intervention and exercise, and the observation group was treated by TCM ironing except for that. The curative effect of the two methods were compared. Results: Obvious improvement rate in the observation group is 97.50%, higher than that of the control group(47.50%), and there were significant difference(P<0.05). Besides, the observation group does not show poor cases, while poor efficacy in the control group was 25.00%, and there were significant differences(P<0.05). Patients in both groups shows better HSS, ADL scores than before treatment, yet the observation group patients have better performance in bone fracture callus growth than the control group, and there were significant differences (P<0.05). Conclusion: TCM ironing can effectively improve the rehabilitation of the upper extremity fractures in elderly patients in middle and later stage. TCM ironing plus nursing intervention and exercise can help patients to recover fast. It is worthy of clinical promotion.