It has been found that although FSPR is unique in relieving muscle spasm in hemiplegic patients, it is difficult to correct joint deformation and soft tissue contracture, so these hemiplegic patients need to undergo muscle tone and strength adjustment surgery (such as peripheral nerve selective narrowing), Achilles tendon lengthening, tendon cutting and lengthening joint capsule release, joint fusion or osteotomy orthopedic surgery after FSPR. In order to receive the best treatment effect. For example, Achilles tendon lengthening can be used for foot drop caused by triceps spasm. Nerve or tendon severing, for example, closed-hole nerve severing and adductor severing when the adductor muscle is severely spastic, it should be noted that the adductor should be shortened appropriately after severing to the nearby muscles, otherwise it will cause discomfort to the patient because the adductor muscle will retract and gather near the starting point of the adductor muscle. Tendon transposition, such as flexor spasm of the forearm and limited hand extension, can be performed by transposing the flexor tendon to the extensor tendon, and postoperative rehabilitation is required. Many scholars advocate that for patients with hemiplegia combined with fixed deformities, a second-stage dystonic muscle strength adjustment procedure 1 to 12 months after FSPR is a feasible option. Joint contractures generally require dystonic dystonia adjustment. Mild deformities can be improved or corrected with training. For more severe deformities, at least six months of training after FSPR should be followed by a review in the hospital to determine which areas need dystonic dystocia treatment. In the past, wire fixation was used for tendon displacement fixation in the FSPR procedure. In addition to ligament repair and reconstruction, bone anchor nail was also used for tendon stop reconstruction and shoulder lock joint dislocation repair, etc. Under the premise of reasonable control of indications, bone anchor nail was also used for repair and reconstruction of medial collateral ligament and soft tissue of knee joint, which has the advantages of easy operation and satisfactory efficacy. In particular, it should be noted that in the treatment of hemiplegic patients, the muscle tone and strength adjustment surgery must be performed after the completion of the decompression surgery, otherwise the effect of this treatment is temporary and unstable. The treatment pathway of relieving limb spasticity (FSPR surgery) → rehabilitation → dystonic muscle strength adjustment (bone anchor nail implantation) → re-rehabilitation is chosen, which is consistent with the foreign treatment model, ensures the surgical effect, reduces the surgical risk, improves the surgical efficacy, also avoids the recurrence of spasticity, improves the motor function, improves the quality of life and work ability of hemiplegic patients, and realizes their future return to society.