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Proximal femoral fractures (PFFs) are a public health issue due to their high frequency. The frequency of a second PFF on the other side is estimated at 10%. This estimation is controversial, however, and the risk factors have not been evaluated in a large population of French patients. The objective of this retrospective case-control study was to determine (1) the incidence of second PFFs and (2) their risk factors. The incidence of second PFFs is 2% after 1 year and 5% after 3 years. We conducted a case-control study in a populat