Abstract:[Objective] To introduce the technique and preliminary clinical consequence of staging treatment of proximal femoral benign tumor complicated with pathological fractures. [Methods] From January 2016 to September 2021, 16 patients received abovementioned treatment for proximal femoral benign tumors with pathological fractures. After admission, the general condition of the patients was assessed, the nature of the tumor was determined by puncture biopsy, and conservative treatment methods such as bed rest and traction were given. As the fractures basically healed according to X-ray taken regularly, the surgical intervention was conducted. During the operation, a fenestration on the bone shell was made to debride the lesion carefully and thoroughly with curettes, and then bone graft substitutes was fully filled into the bone cavity without leaving empty space, finally, appropriate internal fixation was placed to strengthen the local bone strength. [Results] All the 16 patients successfully completed the operation, without complications such as nerve and vascular injury. The patients were followed up for 8 to 80 months with a mean of (23.8±18.6) months. At the last follow-up, all the patients regained normal range of motions of the hip with MSTS lower extremity score of (28.7±1.0), ranged from 27 to 30. No recurrence or metastasis happened in anyone of them during the followup. [Conclusion] This staging treatment does preserve joint function, avoid joint replacement, and achieve good clinical outcome, which is a feasible therapy for neoplastic pathological fractures of the proximal femur.