Generally, there is a significantly increased risk of secondary hip fracture in the elderly after primary osteoporotic hip fracture. The secondary hip fracture causes further impact on patients’ social independence and mobility, and increases mortality. However, the risk factors relative to secondary hip fracture are still not well known. Learning more knowledge on the factors will help clinicians to make effective prevention strategies for high risk population. In this paper, we reviewed the risk factors of secondary hip fracture based on patients’ characteristics, life style, and comorbidities, and some effective interventions.