Desktop shortcut and folder creation not working in windows 10 after 1809

Hi Dallasboy226,
I am Vijay, an Independent Advisor. I am here to work with you on this problem.

Please try these options one by one and check after each option.

1. Run Built-in & Guided Walk through Windows Update troubleshooter
Built-in : Windows Key+X > Click Settings > Click Update & security > Click Troubleshoot > Click Windows Update > Click Run the Troubleshooter

Guided Walk though - https://support.microsoft.com/en-us/help/10164/...

2. Run SFC Scan & DISM
How to - https://answers.microsoft.com/thread/bc609315-d...

3. I would recommend that you perform a Windows 10 repair upgrade. Repair upgrade fixes all Windows errors and retains all files, applications and settings. (You will not lose any data while backup is a good idea) Below is a good guide to perform repair upgrade

https://www.tenforums.com/tutorials/16397-repai...

Do let me know if you require any further help on this. Will be glad to help you.

Disclaimer - This is a non-Microsoft website. The page appears to be providing accurate, safe information. Watch out for ads on the site that may advertise products frequently classified as a PUP (Potentially Unwanted Products). Thoroughly research any product advertised on the site before you decide to download and install it.

The trouble-shooters found nothing wrong and the SFC scan and DISM did not fix the issue.  I am reluctant to carry out the ‘repair install’ as it apparently does not preserve user apps in Windows 10.  Any other suggestions?  Looks like a registry issue to me.

Repair upgrade would not disturb your programs/apps and files. This is Windows's equivalent to MS Office repair.

I leave this to you. Wait for other suggestions. If nothing works, then you can go for this.