Objective To investigate the effect of structured education combined with standardized rehabilitation care on joint range of motion and motor development in children with femoral fractures treated with the elastic intramedullary nail

in order to provide reference for clinical treatment. Methods Eighty children with femoral fractures treated with the elastic intramedullary nail in Huanghe Sanmenxia hospital from May 2020 to January 2022 were selected as the study subjects. The children were assigned to the observation group（n=41） and control group（n=39） by a random number table. After elastic intramedullary nailing

the children in the control group received routine care. The children in the observation group received structured education combined with standardized rehabilitation care in addition to the treatment in the control group. The Haris Hip Score was compared between the 2 groups on days 7 and 30 of the intervention. The Peabody Development Measure Scale（PDMS-2） scores were compared between the 2 groups before intervention and on day 30 of the intervention. Complications were compared between the 2 groups. Results The scores of joint function

pain

deformity

and joint range of motion in the Harris Hip Score on the 30th day of intervention in the two groups were higher than those on the 7th day of the intervention

and the observation group was higher than the control group

with statistically significant differences（P<0.05）. Before the intervention

there was no significant difference in gross motor quotient（GMQ）

fine motor quotient（FMQ）

and total motor quotient（TMQ） scores of the PDMS-2 between the two groups（P>0.05）. On the 30th day of the intervention

the GMQ

FMQ and TMQ scores in the PDMS-2 in the 2 groups were higher than those before the intervention

with the observation group higher than the control group

and the differences were statistically significant（P<0.05）.The incidence rate of complications in the observation group was 7.32%

which was lower than that in the control group（33.33%）

and the difference was statistically significant（P<0.05）.Conclusion Structured education in combination with standardized rehabilitation care has a positive effect on joint range of motion and motor development in children with femoral fractures treated with the elastic intramedullary nail

which has guiding significance in clinical treatment.These benefits justify a wider application of this procedure in clinical practice.