ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2023
Risk of Contralateral Hip Fracture Following Initial Hip Fracture Among Geriatric Fragility Fracture Patients.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Overall and Relative Survival After a Second Contralateral Hip Fracture in Adults over 65 Years: A Retrospective Cohort Study.Geriatrics (Basel, Switzerland) · 2026Article
- Trends in the incidence of secondary hip fractures and osteoporosis treatment in Japan (FY2012-FY2023).Journal of bone and mineral metabolism · 2026Article
- Peri-implant and subsequent proximal femur fractures above distally based supracondylar femoral fixation constructs.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Indications and Outcomes of Total Hip Arthroplasty in Patients Aged 15 to 45 years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Primary Diagnoses Associated With and Outcomes of Total Knee Arthroplasty in Patients Aged 15 to 45 Years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Decreased Opioid Prescriptions and Evolving Trends in Multimodal Pain Management Following Anterior Cruciate Ligament Reconstruction.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Preliminary Data From a Geriatrician-Led Program for Orthopedic Co-Managed Hip Fracture Patients Using Zoledronic Acid.Journal of the American Geriatrics Society · 2025Article
- Growing Utilization of Total Spine MRI Relative to Localized Spine MRI for Patients Presenting Through Emergency Departments Over the Past Decade.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Pre-fracture functional status and 30-day recovery predict 5-year survival in patients with hip fracture: findings from a prospective real-world study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Observational
- Trends in Orthopaedic Surgery on Patients 90 Years Old and Older 2014-2023.The archives of bone and joint surgery · 2025Article
- Exploring the Impact of Race, Language, Socioeconomics, and Medical Management on Osteoporosis Workup and Treatment After Proximal Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Multivariate analysis of blood parameters for predicting mortality in patients with hip fractures.Experimental and therapeutic medicine · 2024Article
- Risk of Postoperative Complications After Total Hip and Total Knee Arthroplasty in Behcet Syndrome Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The Characteristics and Outcomes of Contralateral Non-Concurrent Hip Fractures: A Retrospective Study in Geriatric Patients.Medicina (Kaunas, Lithuania) · 2024Article
- Trends in and Factors Associated With Surgical Management for Closed Clavicle Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGeriatric hip fractures are common and associated with high morbidity and mortality. This study aimed to evaluate the incidence, timing, and risk factors of contralateral hip fracture after initial hip fracture.
methodsInitial hip fractures in patients older than 65 years were abstracted from the national, administrative M91Ortho PearlDiver data set. Incidence and timing of contralateral hip fractures in the following 10 years were identified. Kaplan-Meier survival analysis until contralateral hip fracture was conducted. To account for patient mortality over the later years, 2-year univariate and multivariate analyses were used to determine factors predictive of contralateral hip fracture.
resultsOf the initial 104,311 hip fractures identified, contralateral hip fracture in the 10 years that followed was identified for 7,186 (6.9%), of which 68.4% occurred in the first 2 years. Kaplan-Meier survival analysis until contralateral fracture revealed the 10-year incidence to be 12.9% when controlling for those lost from the data set during the study period. Multivariate logistic regression revealed independent predictors of contralateral hip fracture in the 2 years after index hip fracture, when the incidence was greatest, to be female sex (odds ratio [OR] 1.15), body mass index < 20 (OR 1.30), and percutaneous pinning surgery for initial hip fracture fixation (OR 1.58) (P < 0.0001 for each).
conclusionsIn a national cohort of 104,311 geriatric hip fractures, Kaplan-Meier analysis for contralateral hip fracture found the 10-year incidence to be 12.9%, of which nearly 70% were in the first 2 years, and predisposing factors were defined. As such, future research should aim to identify the cause and mitigate the risk of secondary contralateral hip fractures in geriatric patients.
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