The invention discloses a leg rehabilitation exercise device for orthopedics, comprising a seat, a backrest is integrally connected with one side of the upper surface of the seat, a first leg massagemechanism and a second leg massage mechanism are mounted on the seat, a back massage mechanism is installed in the backrest, the first leg massage mechanism includes a forward/reverse motor, a threaded rod, a massage roller, a gear and a rack, the second leg massage mechanism includes a rotating shaft, a curved massage plate, a second gear and a driving mechanism, and the back massage mechanism comprises a second massage roller and a mounting plate. The leg rehabilitation exercise device of the invention is provided with the first leg massage mechanism and the second leg massage mechanism, canfully perform omni-directional massage on positions of different leg thicknesses, also massages the side and upper side of a leg for further promoting blood circulation and relaxing muscles. The device is also provided with the back massage mechanism, conducts repeated massage on the back of a human body for relaxing the back muscles, relieving fatigue, regulating blood and promoting blood circulation, and is conducive to patient rehabilitation.