To explore the clinical effect of lengthened biological handle total hip arthroplasty combined with steel wire strapping in the treatment of elderly femoral head necrosis with ipsilateral femoral intertrochanteric fracture.

A retrospective study collected the data of 12 elderly patients who diagnosed as femoral head necrosis with ipsilateral femoral intertrochanteric fracture and were treated with lengthened biological handle total hip arthroplasty in the First Affiliated Hospital of Dali University from December 2015 to February 2019. Harris scoring criteria had been used to evaluate the function of joint in the follow-up visit.

These 12 patients all had successful operations. There was no dislocation, infection or complications such as deep venous thrombosis of lower extremity after the surgery. Follow-up visits lasted for 12 months to 36 months and (25±7) months on average. According to Harris scoring criteria, eight cases were excellent, three cases were good, and one case was fair. The ratio of excellent and good cases was 91.7%.

Lengthened biological handle total hip arthroplasty combined with steel wire strapping is effective in the treatment of elderly femoral head necrosis with ipsilateral intertrochanteric fracture, which can avoid second surgery and reduce the hospitalization cost, create basic conditions for early rehabilitation of elderly patients.