〔Abstract〕 ObjectiveTo explore the establishment and application of structured electronic medical record of orthopedic nursing. Methods 40 orthopedic nurses in the University of Hong Kong-Shenzhen hospital were selected as the research objects, while the time-consuming and documents quality before the establishment of orthopedic structured electronic documents system (July to December 2019) were taken as the control group, and the time-consuming and document quality after the application of the system (January to June 2020) were taken as the observation group. The time consumption, satisfaction and quality of nursing documents before and after using the system were compared. Results The time consumption of the observation group was (5.82 ± 0.55) min lower than that of the control group (10.82 ± 3.81) min, and the satisfaction degree was (94.85 ± 1.33) higher than that of the control group (84.44 ± 3.81) , the difference were statistically signifi cant (P < 0.05).The continuity, objectivity, professionalism, andcompliance rate of the observation group were higher than those of the control group, and the difference was statistically signifi cant (P < 0.05). There was no statistically signifi cant difference in the timeliness and completeness of writing between the two groups (P > 0.05). Conclusion The establishment of orthopaedic electronic nursing documents system can shorten the recording time of nurses, improve work effi ciency and the quality of medical records.