股骨远端骨折类型复杂，术后并发症多，是最难治疗的骨折之一。随着手术技术和内固定材料的不断创新，应用闭合复位内固定术治疗股骨远端骨折的理念已被广泛接受。股骨髁周围有关节囊、韧带、肌肉和肌腱等组织结构附着，股骨远端骨折后这些周围结构的牵拉常造成不同程度的骨折移位畸形。另外，股骨远端骨折患者多合并其他损伤也增加了术中复位骨折断端的难度。目前在股骨远端骨折闭合复位术中采用不同方法辅助复位骨折端以减少手术再损伤的理念开始得到认可和普及。选择合适的复位方法和内固定方式，不仅可以降低手术难度，还能缩短手术时间，减少术后各种并发症的发生率。本文通过对近年来股骨远端骨折相关文献中所涉及的辅助复位方法进行回顾。除徒手复位外，钢板作为一种内固定方式自身便可实现辅助复位，但对部分复杂类型骨折不适用。骨牵引床使用较为广泛，但有多种并发症的风险而受到限制。AO牵开器与下肢轴向牵开器等通过反向牵引实现骨折牵开复位，在操作过程中应注意血管及神经损伤等风险。术者应根据手术需要选择合适的辅助复位技术以提高复位效率，降低风险。“,”Distal femoral fracture is one of the difficult fractures to treat due to the complex types and varies complications after operation. The concept about closed reduction to deal with fracture has been accepted widely with the innovation of surgical technology and internal fixation. Some tissue, including joint capsule, ligaments, muscles and tendons, surround femoral condyle, which indicates they may tract the fractured bone to deformity. In addition, the difficulty of reduction during operation may be increased with combined other injuries. At present, the idea of using different methods to reduce the re-injury before the closed reduction of distal femoral fracture has been recognized and popularized. A kind of appropriate reduction and internal fixation can not only reduce the difficulty of operation but also shorten the operation duration and reduce the incidence of postoperative complications. In addition to the common reduction method of manual reduction, plate can not only be taken as internal fixation, but also achieve reduction reviewing literatures about the methods of reduction in recent years. However, it is not suitable for some complex fractures. The traction table is not widely used at present due to varies complications. Distractors like AO distractor or other kinds of femoral distractors can achieve reduction by providing reverse force. However, it should be noticed that some risk factors such as vascular and nerve injury can occur during the surgery. The present study summarized different ways that were adopted during the closed reduction and internal fixation of distal femoral fractures. The appropriate method chose by surgeons to improve the efficiency and reduce risks should be used based on the need of surgery.