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Objective to investigate the significance of the recovery of shoulder joint function during the perioperative period for the treatment of humeral head comminuted fracture in old patients by artificial humeral head replacement.. Methods: a case of comminuted fracture of humeral head in our department, a senile patient, and early postoperative rehabilitation exercise were conducted, and the follow-up was carried out.. Results: the overall satisfaction of the shoulder was satisfactory after the rehabilitation and the doctors and nurses of the doctors and nurses.. Conclusion: elderly patients need our staff with more patience and love, the recovery of function is the combination of the success of the surgery and rehabilitation exercise, exercise rehabilitation in the humeral head replacement in patients with shoulder joint function recovery plays a pivotal role.Key words exercise rehabilitation artificial humeral head replacement application experience