Objective: To investigate the efficacy of pelvic Salter osteotomy and proximal femoral inversion osteotomy inclusion in the treatment of femoral head necrosis in children. Methods: Eleven cases of femoral head necrosis or combined with subluxation and other femoral head inclusion incompleteness were selected. The bone was osteotomized with a wire saw from the greater sciatic notch to the anterior and superior iliac spine, and the distal end of the osteotomy was displaced anteriorly, inferiorly, and externally with a cloth towel clamp and embedded in the bone gap with a triangular shaped allograft bone. It was fixed with two kerf pins. Then the proximal femur was osteotomized internally, and the average neck stem angle was reduced by 15-20°. The socket apex formed after osteotomy was able to cover the femoral head immediately above the joint capsule. RESULTS: In this group, there were 11 cases and 11 hips with an average follow-up of 1.5 years, and the surgical outcome was satisfactory. The preoperative femoral head inclusion was 66%, postoperatively, all of them reached more than 97%. The head and socket were close to concentric relationship, and the femoral head morphology was basically restored to normal. Conclusion: The advantage of pelvic salter osteotomy and proximal femoral osteotomy inclusion treatment is that the newly formed socket roof of the osteotomy can cover the femoral head well and improve the excellent rate of surgery, which is an effective means of treating femoral head inclusion insufficiency.