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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.
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