Abstract: Objective　To investigate the clinical effect of upper limb traction device combined with painless reduction in the treatment of distal radius fracture. Methods　The clinical data of 43 patients with distal radius fracture received in our hospital were retrospectively analyzed. The Mayo wrist score of the patients before and after treatment, changes in palmaral inclination, ulnar deviation angle and complications of the patients before and immediately after reduction were compared. Results Three months after treatment, all patients achieved bone healing, with excellent wrist function recovery in 20 cases (46.5%), good wrist function recovery in 19 cases (44.2%) and moderate wrist function recovery in 4 cases (9.3%). The overall excellent and good rates were 90.70%. Immediately after reduction, both the ulnar angle and palm angle were greater than those before reduction (P＜0.01). Tension blisters were found in 2 (4.65%) of the 43 patients, and no carpal tunnel syndrome, malunion and compartment syndrome. Conclusion The upper limb traction device combined with painless prosthesis for the treatment of distal radius fracture can obtain better ulnar angle and palmaral angle, and better recovery of wrist joint function with satisfactory clinical effect.