Children's fractures are very common, and many children's fractures need internal fixation. When the children are treated and recovered, it needs to be internally fixed and then taken out. With the development of internal fixation materials, the research of surgical methods and the improvement of surgical skills, postoperative removal of orthopedic surgery patients has gradually been included in daytime surgery. While ensuring the safety of children's surgery, it is necessary to shorten the postoperative limb and joint function recovery time, promote the recovery of limb and joint function, the healing of wounds and bones, and reduce the occurrence of these complications. In order to reduce the occurrence of these complications, carry out early rehabilitation education and development early rehabilitation training is very necessary. This paper puts forward the concept of early rehabilitation based on shared decision model, in which doctors, nurses, children and family members participate in the treatment of children before, during and after operation. The effect of early rehabilitation education in the daytime ward after removal of internal fixation was examined. Moreover, through the analysis of the control trial also confirmed that the clinical effect of early rehabilitation in improving and optimizing the rehabilitation of fracture in children is significant.