Abstract:[Objective] To introduce the surgical technique and primary clinical outcomes of closed reduction and plate fixation to deal with distal femoral fracture by using the lower extremity axial distractor (LEAD). [Methods] From July 2017 to June 2019, 26 distal femoral fractures with closed reduction by LEAD and internal fixed with plate were reviewed. For type A fracture, the plate should be inserted retrogradely from the femoral condyle, and then the distractor should be installed through the plate to achieve reduction and fixation. For type C fracture, the reduction and fixation of intercondylar fracture should be achieved first and the plate would be inserted retrogradely. The reduction and fixation via LEAD would be processed after that. [Results] All of these patients were completed the operation. No intraoperative or postoperative complications were encountered. Among of them, there were two knee stiffness and one non-union. One years after operation, there were 20 excellent patients and 5 good patients based on the Schatzker-Lambert criteria, the superior rate of them was 96.2%. The comparation of angular deformity based on the preoperative and postoperative images were different significantly (P<0.05). [Conclusion] The LEAD is simple and easy to operate, which can improve the efficiency of closed reduction for distal femoral fracture.