Transmission line defect detection remains challenging for automated UAV inspection due to the dominance of small-scale defects, complex backgrounds, and illumination variations. Existing RGB-based detectors, despite recent progress, struggle to distinguish geometrically subtle defects from visually similar background structures under limited chromatic contrast. This paper proposes CMAFNet, a Cross-Modal Alignment and Fusion Network that integrates RGB appearance and depth geometry through a principled purify-then-fuse paradigm. CMAFNet consists of a Semantic Recomposition Module that performs dictionary-based feature purification via a learned codebook to suppress modality-specific noise while preserving defect-discriminative information, and a Contextual Semantic Integration Framework that captures global spatial dependencies using partial-channel attention to enhance structural semantic reasoning. Position-wise normalization within the purification stage enforces explicit reconstruction-driven cross-modal alignment, ensuring statistical compatibility between heterogeneous features prior to fusion. Extensive experiments on the TLRGBD benchmark, where 94.5% of instances are small objects, demonstrate that CMAFNet achieves 32.2% mAP@50 and 12.5% APs, outperforming the strongest baseline by 9.8 and 4.0 percentage points, respectively. A lightweight variant reaches 24.8% mAP50 at 228 FPS with only 4.9M parameters, surpassing all YOLO-based detectors while matching transformer-based methods at substantially lower computational cost.