The invention relates to an orthopedic nursing cleaning device. Due to two covered cylinders, a diseased limb is cleaned, a water outlet nozzle is arranged on each cylinder, a buffer device is arranged inside a clamping device in the front-back direction of each cylinder, the diseased limb is well positioned and fixed, and no harm is caused to the diseased limb; a driving device drives the cylinders to achieve front-back feeding and rotation, thorough cleaning work is provided for the patient, a bed is prevented from being contaminated, a sector gear and a clutch device are introduced into thedriving device, a third gear and a fifth gear are alternately meshed through the sector gear, the cylinders rotate after front-back feeding is completed, and therefore the diseased limb is comprehensively cleaned, the open-close state of the clutch is controlled, the cylinders can rapidly reach the designated portion according to the need of a user to be repeatedly cleaned, operation is convenient and easy, the cleaning effect is remarkable, work burdens of nurses are greatly lowered, gauze can be replaced on a roller for medicine replacement usage, and the device has dual purposes, and is convenient to use and practical.