Second contralateral hip fractures reduce survival, mobility and daily activity : a matched pair analysis - Takeaways - MDSpire

Second contralateral hip fractures reduce survival, mobility and daily activity : a matched pair analysis

  • By

  • Alisa Blattner

  • Florian Sabath

  • Timon Röttinger

  • Leonhard Lisitano

  • Edgar Mayr

  • Annabel Fenwick

  • May 7, 2026

  • 0 min

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  • 1

    Approximately 5–12% of patients experience a second contralateral hip fracture within years of the first fracture.

  • 2

    The mean interval to a second hip fracture is 2.2 years, with 40.2% occurring within one year of the first fracture.

  • 3

    Patients with a second hip fracture have a significantly shorter time to death compared to those with a single fracture.

  • 4

    Functional outcomes are poorer for patients with second fractures, reflected in lower Barthel Index scores and increased need for walking aids.

  • 5

    Patients discharged to rehabilitation after the first fracture have a higher risk of sustaining a second contralateral hip fracture.

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