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This study investigates early tibial cement debonding in knee implants, focusing on the Attune S+ design. The hypothesis suggests that this design may enhance fixation and survivorship. Mid-term results indicate a significant reduction in radiolucent lines (RLL) for Attune S+ compared to S+, particularly at two years. However, RLL does not equate to implant loosening, and design modifications may help minimize early radiographic lines. Overall, the rate of loosening events remains low,...