Abstract: Objective To explore the clinical effect of bone traction in the treatment of distal fractures of tibia and fibula fracture with minimally invasive percutaneous locking plate. Methods From January, 2013 to December, 2017, there were 46 cases with distal fractures of tibia and fibula fracture treated in the department of orthopedics in Fuyang people's hospital. According to the different methods of preoperative fixation, they can be divided into calcaneal traction group (20 cases) and conventional plaster external fixation group (26 cases). Furthermore, operation time, blood loss was calculated, and the patients were followed up for fracture healing time and postoperative complications, tibia fracture Johner-Wruhs AOFAS rating score and ankle function. Results All patients were followed up for 6 to 12 months, with an average of (8.0±2.3) months. All patients had a closed wound, no wound infection occurred, no wound skin necrosis, nor exposed steel plate. Compared with the gypsum fixation group, the operation time could be shortened by (8.0±2.5) minutes, with significant difference (P<0.05), but no significant effect on the time of fracture healing and bleeding amount (P>0.05). According to shin Johner-Wruhs scoring criteria, 15 optimal cases, 8 improved cases, 3 acceptable cases in observation group and 13 optimal cases, 5 improved cases, 2 acceptable cases in control group, without statistical difference between the groups (P>0.05); according to AOFAS rating standards, the ankle joint function after surgery included 14 optimal cases, 10 improved cases, 2 acceptable cases in the observation group, and 12 optimal cases, 7 improved cases, and 1 acceptable case in the control group, with no statistical difference between the two groups(P>0.05). Conclusion The treatment of distal fracture of tibia fibula fracture can shorten the operation time and improve the quality of reduction of the distal fracture of tibia fibula fracture with bone traction assisted percutaneous locking plate, which can reduce the difficulty of the operation.