OBJECTIVES: The aim of this study is to evaluate the occurrences of secundary hip and femur fractures according to its different risk factors with follow up 8 years. METHODS: In this retrospective study the data derive from the financial database of the Hungarian National Health Insurance Fund Administration, based on the 10th revision of the International Classification of Diseases (ICD) with ICD code S7200. The patients included into the study had femur neck fracture and being discharged from the hospital after the primary treatment in 2000. The patients with polytrauma were excluded from the study. We evaluated data according to sex, age, type of fracture, type of surgery, local complications, type of residence. RESULTS: A total of 3783 patients met selection criteria of primary femoral neck fracture. During the postoperative 8 years 347 patents (9,2 %) had secondary hip and femur fractures. Average age of patient with primary hip fracture 78 years, with secundary hip fracture 80,6 years. We demonstrated the following incidence rate of secundary hip fractures according to risk factors: Sex: female: 10,3 %, male: 5,8 %. Age groups: 60-69y: 5,3 %, 70-79y: 7,5 %, 80-89y: 12,4 %, 90y-:14,1 %. Type of fracture: lateral: 6,9 %, medial 9,5 %. Type of surgery: osteosynthesis: 8,5 %, arthroplasty: 13,6 %. Local complications: yes: 10,6 % no: 9 %. Type of residence: capital 11,5 %, village: 7,9 %, city: 10 %, town: 8,2 %. CONCLUSIONS: The secondary hip fracture rate increased with the age of patients. The secondary hip fracture rate was the highest in female, in patient with primary intracapsular femoral neck fracture, after arthroplasty, in patient with local complication, in patient with capital residence. Many other factors can influence this secondary hip fractur, which will be analyzed in our further studies.