The invention relates to a rope type internal fixation device for the orthopedics department. The device comprises an ultrasonic sensor, an infrared temperature sensor, a blood pressure sensor, a displacement sensor, a single chip microcomputer, a driving controller, a wireless radio frequency transceiving module, a drilling device, a cleaning device, a rope cutting device and a fastening device; the ultrasonic sensor is used for monitoring specific positions of surgical instruments in surgery, the infrared temperature sensor is used for collecting body temperature information of patients, the blood pressure sensor is used for collecting blood pressure information of the patients, the displacement sensor is used for detecting the drilling depth in the surgery, the single chip microcomputer is used for analyzing and processing the collected data, the driving controller is used for controlling a driving device, the wireless radio frequency transceiving module is used for receiving and sending wireless network signals, the drilling device is used for drilling, the cleaning device is used for cleaning wounds, the rope cutting device is used for making a rope, and the fastening device is used for fastening fastening nails. According to the device, the specific positions of the surgical instruments, the drilling depth and the like can be effectively monitored, and meanwhile real-time detection is conducted on vital signs of the patients; the surgical precision is improved, the operation difficulty is lowered, and the dependent degree on doctors is reduced.