Saglam, SonmezArican, MehmetKaraduman, Zekeriya OkanYucel, Mucahid OsmanDegirmenci, ErdemUludag, Veysel2024-08-232024-08-2320241010-660X1648-9144https://doi.org/10.3390/medicina60060928https://hdl.handle.net/20.500.12684/13808Background and Objectives: This study aimed to determine the relationship between non-simultaneous contralateral hip fractures, urban and rural differences, fracture localization, time between fractures, physiotherapy applications, comorbidity, and the second fracture outcomes. Materials and Methods: We retrospectively analyzed 107 patients aged 65 and older with proximal femur fractures (PFFs) who underwent surgery at D & uuml;zce University Medical Faculty between January 2010 and December 2022. High-energy fractures, pathological fractures, and patients with a history of old fractures were excluded. Results: The study included 66 females (61.7%) and 41 males (38.3%), with a mean age of 83.76 years. The mean interval between two fractures was 28.3 months. There was no statistical difference between the localization of the first and second fractures (p = 0.107). However, there was a significant difference in the first PFF localizations of patients living in rural areas (p = 0.023). Patients with heart failure, respiratory failure, osteoporosis, and cognitive impairment had shorter intervals between fractures (p < 0.001). Conclusions: This study shows that age, female gender, place of residence, comorbid diseases, and whether physical therapy is received after the first fracture are significant risk factors for a second hip fracture in patients over 65 years of age.en10.3390/medicina60060928info:eu-repo/semantics/openAccessproximal femur fractureopposite hip fracturerisk factorinter-fracture intervalRisk-FactorsElderly-PatientsManagementMortality1stArticle606389295452-s2.0-85197192574WOS:001266658000001Q2N/A