Objective The effects and advantages of lower extremity axial distractor（LEAD）adopted for distal femoral fracture reduction was discussed by comparing with manual reduction. Methods From March 2017 to June 2019，57 distal femoral fractures with closed reduction and internal fixed with plate were reviewed，including 26 cases with LEAD（test group）and 31 cases with manual reduction（control group）. There were no significant differences of gender，age and AO classifications between the two groups（P > 0.05）. Results All of these 57 patients were completed the operation with 2 cases got open reduction in the control group and none in the test group，and no complications were encountered. The operation time in test group had a decreased trend compared with the control group but the difference had no statistical significance. The imaging times and blood loss in test group were decreased apparently with statistical differences（P < 0.05）. Patients from both of these two groups were followed up. The mean time of it in test group was（13.35 ± 2.34）months and the callus formation time was（2.81 ± 0.89） months，including 2 cases with stiffness of the knee joint and 1 case with infection of post⁃operative incision. The mean time of following in control group was（16.45 ± 5.10）months and the callus formation time was（2.16 ± 0.87） months，including 2 cases with genu varum and 2 cases with stiffness of the knee joint. The assessments of the affected limbs after 1 year were adopted and the results showed that there were 20 excellent patients and 5 good patients in test group，the superior rate of it was 96.30%. In the control group，there were 23 excellent patients and 7 good patients with the superior rate of 96.77%. Conclusion The reduction via LEAD and internal fixed with plate to deal with the distal femoral fracture has less imaging times and better efficiency than that by manual reduction， which has a good clinical effect.