Abstract：Objective To compare the short-term and medium-term effects of double action hip joint and fixed lined hip prosthesis replacement by joint amnesia score. To verify whether the Forgotten Joint Score has a better ceiling effect than the common postoperative score scale.Methods 100 patients with hip arthroplasty due to femoral head necrosis of Filcat Ⅳ in the Joint Surgery Ward of the Fifth Clinical Medical College of Shanxi Medical University from January 2017 to December 2020 were selected，including 41 males and 59 females.The age ranged from 58 to 82 years，with an average age of (62.74±11.96)years，including 51 patients with dual-mobility cups hip prosthesis(DMC group) and 49 patients with fixed lined total hip prosthesis(CP group).Harris score，Western Ontario Mcmaster universities (WOMAC)osteoarthritis index，Oxford hip score(OHS)，patient satisfaction score and forgotten joint score(FJS) were performed 1 year after operation and the last follow up (about 2 year).The data were statistically analyzed.Results 100 patients were followed up for more than 2 year.There were no complications such as intra-articular dislocation，prosthesis loosening，periprosthetic fracture and periprosthetic infection.The follow-up data at 1 year and 2 year after operation showed that there was no significant difference in Harris score，WOMAC score，OHS score and patient satisfaction score between the two groups (P＞0.05).The FJS score at 1 year and 2 year after operation showed that there was significant difference between dual-mobility cups hip joint and fixed lined total hip joint(P＜0.05).Patients with dualmobility cups hip prosthesis could obtain better joint amnesia after operation.Conclusion The FJS is better than other scales in evaluating the function and joint consciousness of patients after joint replacement.Although the two prosthesis replacement patients have similar results in function and pain，the patients with dual-mobility cups hip prosthesis have a more natural joint feeling after operation.
［1］Learmonth ID，Young C，Rorabeck C.The operation of the century：total hipreplacement［J］.Lancet，2007，370(9597)：1508-1519.
［2］Behrend H，Giesinger K，Giesinger JM，et al.Kuster.The “Forgotten Joint” as the ultimate goal in joint arthroplasty：validation of a new patient-reported outcome measure［J］.J Arthroplasty，2012，27(3)：430-436.
［3］Rosinsky PJ，Jeffrey BA，Ajay MS，et al.Can we help patients forget their joint? determining a threshold for successful outcome for the forgotten joint score［J］.J Arthroplasty，2020，35(1)：153-159.
［4］Matsumoto M，Baba T，Homma Y，et al.Vali-dation study of the forgotten joint score-12 as a universal patient-reportedoutcome measure［J］.Eur J Orthop Surg Traumatol，2015，25(7)：1141-1145.
［5］Thompson SM，Salmon LJ，Webb JM，et al.Construct validity and test re-test reliability of the forgotten joint score［J］.J rthroplasty，2015，30(11)：1902-1905.
［6］Cao S，Ning L，Han W，et al.Simplified Chinese version of the forgotten joint score (FJS) for patients who underwent joint arthroplasty：cross-cultural adaptation and validation［J］.J Orthop Surg Res，2017，12(1)：6.
［7］Valerio S，Fennema P，Applefield R，et al.Translation，cross-cultural adaptation，and validation of the italian language forgotten joint score-12 (FJS-12) as an outcome measure for total knee arthroplasty in an italian population［J］.BMC musculoskelet disord，2020，21(1)：23.
［8］陶启元.关节遗忘评分在全髋关节置换术后的应用［D］.昆明医科大学，2017.
［9］徐峰，袁凯旋，陈圣宝，等.髋关节功能评分研究进展［J］.国际骨科学杂志，2018，39(3)：4.
［10］Celik D，Can C，AslanY，et al.Translation，cross-cultural adaptation，and validation of the turkish version of the harris hip score［J］.Hip Int，2014，24(5)：473-479.
［11］Uesugi Y，Makimoto K，Fujita K，et al.Validity and responsiveness of the oxford hip score in a prospective study with japanese total hip arthroplasty patients［J］.J Orthop Sci，2009，14(1)，35-39.
［12］Ackerman IN，Tacey MA，Ademi Z，et al.Using womac index scores and personal characteristics to estimate assessment of quality of life utility scores in people with hip and knee joint disease［J］.Quality of Life Research，2014，23(8)：2365-2374.
［13］Puliero B，Blakeney WG，Beaulieu BY，et al.Joint perception after total hip arthroplasty and the forgotten joint［J］.JArthroplasty，2019，34(1)：65-70.
［14］陈宇轩，张志强，石俊俊，等.采用陶瓷-陶瓷(Delta陶瓷)与陶瓷-高交联聚-乙烯界面在全髋关节置换中的短期对比研究［J］.实用骨科杂志，2019，25(3)：223-236.
［15］Lin W，Dai Y，Dong C，et al.Joint awareness after patellofemoral arthroplasty evaluated with the forgotten joint score：A comparison study［J］.Orthop Surg，2021，13(3)：833-839.
［16］Xing QQ，Zhong D，Pan YX，et al.A comparative study of patients' subjective feelings toward total hip arthroplasty with patient-specific instruments and traditional total hip arthroplasty［J］.Orthop Surg，2020，12(1)：269-276.
［17］Dana L，Troelsen A，Ingelsrud L，et al.Females，younger patients and patients with high BMI have the highest pre-operative knee awareness measured using the Forgotten Joint Score［J］.Knee Surg Sports Traumatol Arthrosc，2018，26(9)：2587-2593.
［18］Boyer B，Philippot R，Geringer J，et al.Primary total hip arthroplasty with dual mobility socket to prevent dislocation：A 22-year follow-up of 240 hips［J］.Int Orthop，2012，36(3)：511-518.
［19］Blakeney WG，Epinette JA，Vendittoli PA.Dual mobility total hip arthroplasty：should everyone get one?［J］.EFORT Open Rev，2019，4(9)：541-547.
［20］Bloemheuvel EM，Steenbergen LNV，Swierstra BA.Low revision rate of dual mobility cups after arthroplasty for acute hip fractures：Report of 11，857 hip fractures in the Dutch Arthroplasty Register (2007—2019)［J］.Acta Orthop，2021，92(1)：36-39.
［21］王晓东，魏杰，郭秀生，等.双动全髋关节假体置换术的中期疗效［J］.中华骨科杂志，2019，39(15)：926-934.
［22］Guyen O，Chen QS，BejuiHugues J，et al.Unconstrained tripolar hip implants：Effect on hip stability.［J］.Clin Orthop Relat Res，2007(455)：202-208.
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