With the continuous development of minimally invasive surgery technology, arthroscopic surgery has become a routine surgery in orthopedics. Arthroscopic surgery is an endoscope used for physicians to diagnose and treat joint disorders through a rod-shaped optical instrument of about 5mm in diameter that observes the internal structure of the joint. Compared with traditional incisional surgery, arthroscopy has the advantages of minimally invasive and clear vision, can maintain the original anatomical and physiological health structure, less trauma, high accuracy, and surgical safety, satisfactory sexual efficacy, and fast recovery. The author developed different rehabilitation care plans and implemented systematic rehabilitation care for different individuals after shoulder arthroscopy and treatment, and achieved good results. The patient is placed in the lateral position or beach chair position. 1, the care of lateral position after good anesthesia, turn on your side and tilt back 15 ° ~ 30 °, soft pillow under the head and head to the healthy side of breathing, the patient’s auricle smoothing, to prevent auricular pressure injury. A soft pillow is placed under the axilla to facilitate and prevent pressure on the axillary nerves and blood vessels. A large pillow is placed between the legs, with the lower leg flexed and the upper leg straightened. The upper extremity on the healthy side is spent on a hand rest and padded with a slope pillow, and the arm is gently pulled outward to prevent brachial plexus nerve injury. The lower extremities were padded with hollow ring pads under the ankles, knees, bones, and heels to prevent pressure sores. The pelvis should be fixed in the pubic symphysis and sacrococcygeal region with homemade lateral fixators in front of and behind the pelvis, and the back of the chest should be fixed with bed cards if necessary, but not too tightly, so as not to shake. The band should be fixed at the hip and tied to the side of the bed at both ends, with appropriate tightness. After disinfection, the affected arm is wrapped with an open towel and traction is performed with a bandage at 40° to 70° of abduction and 0° of flexion, and a weight of about 5 kg is placed on the traction frame at the end of the bed for suspension traction. Paulo et al. reported a transient sensory deficit in the affected limb in 30% of patients after arthroscopic shoulder surgery. A sudden change in position under anesthesia can cause acute circulatory insufficiency, which occurs when changing from a lying to a head-high or seated position, so the change in position should be done slowly. When moving the position, the patient’s head, neck and thoracic spine should be coordinated and kept at the same level of rotation to prevent spinal injury and dislodgement of the tracheal tube. The patient should be lifted and fixed properly by four people. 2, beach chair position after good anesthesia, the patient supine head under the cushion head ring bias to the healthy side, not over-extension or twisting, so that it is in a functional position, and fixed with a triangular sandbag or wide tape to prevent head curvature instability, under the neck with a strip of soft pillow padding support, jaw and sternum to maintain a certain distance between the spinal cord to prevent ischemic injury. The affected shoulder is flat on the edge of the bed and a soft pillow is placed under the scapula. The inner edge of the scapula to the edge of the bed and the sacrococcygeal area are padded with soft pillows to prevent pressure sores. The upper limb of the healthy side is placed on one side of the body and fixed with a medium sheet, while the upper limb of the affected side is free and suspended for sterilization and placed in natural flexion on the chest and abdomen. A soft pillow is placed in the N fossa below the knee to reduce the strain on the large blood vessels and nerves. The heel was protected with padding to prevent pressure sores. The lower extremities were fixed at 2-3 cm above the knee with fixation straps to prevent the patient from slipping, and a sheet was placed under the fixation straps to prevent the pressure of the straps from forming pressure sores. The electric bed is adjusted into a beach chair, the backboard is raised so that the upper body is tilted 30°~40°, and the upper 1/3 and middle 1/3 of the bed form an angle of hip flexion of 90°~110°. The leg plate of the surgical bed is moved downward by about 20° so that the middle 1/3 of the bed forms an angle with the lower 1/3, and the knee is flexed by about 20° to 30°. Pay attention to make sure that the patient’s surgical site is well exposed and the patient is safe before adjusting the electric surgical bed button and adjusting the surgical bed to the required position for surgery. Pay attention to the protection of the patient’s neck to prevent accidental injury to the cervical spine, especially when the body is moved up, one person should stand at the head end of the patient to support the head and neck, and two people should stand on both sides of the surgical bed while lifting the bed sheet to move the patient’s body up, and also pay attention to prevent the slippage of each tube, and need to properly fix each tube surgical position is very important for patients under anesthesia, especially under general anesthesia, where the patient is completely unconscious, Improper positioning or inadequate care can cause harm to the patient during prolonged surgery, so proper positioning is essential for the prevention of postoperative complications. A perfect position should keep the airway open and the circulation functioning normally to avoid paralysis caused by nerve compression of the limbs. Protect all kinds of tubes when placing, keep them open and prevent them from falling off. The patient should be lifted and fixed properly by three or more people, and the cushion and the fixation belt should be appropriately tightened. The patient’s comfort should be adjusted to ensure that the patient is in a functional position and fixed properly under the premise of surgery. Second, according to the different groups of patients to develop humanized care methods 1, the humanization of the medical environment to arrange a ward with a family atmosphere. Efforts to create a humane and humane environment full of concern for patients, respect for patients, and the interests and needs of patients as the center, so that patients feel the warmth of home. 2. strengthen health guidance early rehabilitation exercises during hospitalization with the help of rehabilitation teachers and give the correct health guidance. The amount of exercise and the rhythm of training should be correctly mastered during the muscle exercise, each exercise causes certain muscle fatigue, but too much exercise can cause acute muscle strain. After 2 weeks of removal of fixation, shoulder muscle contraction and extension exercises should be carried out. 6 weeks later, active shoulder flexion and abduction should be avoided. 6 weeks later, shoulder joint activities should be gradually increased, initially as passive exercises, and gradually transition to active exercises as muscle strength is recovered, until shoulder joint function is restored. 3.Systematic rehabilitation training methods Psychological care. Establish a good patient-care relationship with the patient. Most patients are nervous and fearful about the surgery, and worry about the unsatisfactory effect after the surgery. To understand the patients’ psychological reaction and strengthen psychological care, let the patients understand the process of surgery and the significance of artificial joint replacement, so that the patients can build up confidence and better cooperate with the surgery. At the same time, a participatory patient-care relationship was established between the patient and the medical staff, and the patient’s emotional state was improved through effective verbal and non-verbal communication with the patient using empathy and listening skills to build mutual trust. The patient, the family and the medical staff will work together to implement the rehabilitation plan and gradually achieve the goal of rehabilitation. Passive shoulder joint exercises. (0-6 weeks after surgery) This stage mainly involves active activities of the affected elbow, wrist and hand joints, and passive and auxiliary activities of the shoulder joint. Passive activities should be within the patient’s tolerance range and should not exceed the range of shoulder joint activities during surgery. The patient should not actively flex or externally rotate the shoulder joint, and should not rely on the affected limb. After surgery, the arm was fixed in 70° abduction and 10° external rotation position with a suspension scarf for 3 weeks. Early rehabilitation was performed within 3 days after surgery under the action of a pain pump. Patients performed functional finger activities immediately after waking up from general anesthesia, and 24 hours after surgery, the adjacent joints on the affected side of the elbow, wrist and hand were actively engaged in full range of motion, and forearm isometric muscle internal contraction exercises were performed. The rehabilitation of the shoulder joint started within 24 hours after surgery, including: pendulum exercises 3-5 times, 2 times/day; passive forward flexion and external rotation of the shoulder joint in the supine position; bending the elbow at 90° in external rotation, assisted by the healthy hand, and lifting the shoulder with the hand touching the forehead, gradually exceeding the head; when the shoulder joint lifting exceeds 90°, the arm gravity can help to continue lifting. The shoulder joint muscles are relaxed in the supine position, and this exercise is performed 3-5 times/time, 2 times/day. After 7-8 days postoperatively, we started to increase the suspension exercises by bending the patient with the affected arm down, holding a wooden stick, drawing circles on the ground in internal or external rotation and gradually expanding the radius of the circles, and also increasing the lifting movement with the help of pulleys. This exercise requires the shoulder joint to be lifted up to about 140°, with the patient lying on his back, holding his hands together, lifting the shoulder joint, and then sliding both hands behind the neck to separate the two limbs. In this way, external rotation is maximized and performed gradually. Ice is applied to the shoulder joint within 3 weeks after surgery. (6 to 12 weeks postoperatively) involves early active movement of the shoulder joint, isometric training of the shoulder girdle muscles and shoulder extension exercises, and encouraging the patient to perform weight-free activities of daily living with the affected limb (after 12 weeks). Further muscle stretching and resistance training to restore movement and strengthen the anterior deltoid and external rotator muscles is of utmost importance, and the prerequisite for this is that the patient’s passive shoulder movement is close to the normal range and that there is no pain during the exercise treatment.