ATTUNE S+™ Technology with Macrolock and Microblast

The ATTUNE S+™ Technology is yet another way that DePuy Synthes is driving evidence-based innovation intended to make continuous enhancements with the goal of positively affecting patient outcomes and satisfaction. The tibial base with the patented ATTUNE S+ Technology (U.S. Patent No. 10,307,260) includes added features designed to provide greater residual pull off strength under a range of simulated intra-operative conditions and the presence of lipid infiltration and motion. The ATTUNE S+ Technology is designed to enhance tibial fixation with its innovative combination of macrolock features and a microblast surface finish on the tibial base.

High Res S+ RP Front Bottom

Features & Benefits



Increased surface roughness designed to work with macrolock to provide a greater level of residual fixation under simulated intraoperative conditions and lipid infiltration compared to other implants tested.1



Four Cement Pockets; designed to provide additional macro mechanical fixation with cured cement. 45 degree undercuts; macro geometry designed to provide a macro-lock between cement–implant interface.

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ATTUNE Knee Proprietary Technologies

This tibial tray incorporates the original ATTUNE Knee patented technologies that deliver improved patient satisfaction.2


Rotating Platform

Based on our clinical heritage, the central cone design of the ATTUNE Rotating Platform Tibial Base allows the tibial insert to rotate as the knee flexes, which allows for a more natural motion and may reduce the stress and wear on the implant.3,4,5

IntuitionInstruments indv

INTUITION™ Instruments

The INTUITION™ Instruments combine the surgical process with intuitive and efficient instruments to allow the surgeon to balance the soft tissue and precisely control the implant position and fit for each patient.


Supporting Documentation


ATTUNE S+ Technology Overview

TKR Cementing Guidance

Influence of Physiological Loading Following Intra-Operative Lipid/Marrow Infiltration and Intra-Operative Motions upon Tibial Implant Fixation (ORS 2019)

Understanding Pull Out Strength


1. Mason BJ, et al. Simultaneous Femoral and Tibial Cementation Negatively Effects Tibial Fixation in Total Knee Arthroplasty. American Academy of Orthopaedic Surgeons, 2018 Annual Meeting, Scientific Exhibit 15, New Orleans, LA.
2. Hamilton WG, Brenkel I, Clatworthy M, et al. Comparison of an Existing and New Total Knee Arthroplasty Implant System from the Same Manufacturer. A Prospective, Multicenter Study. Podium Presentation at the Closed Meeting of the Knee Society. 2018. SRR 10850.
3. Dun, S. (2012). Mobile-bearing total knee prostheses reduce axial rotational constraint torque. ORS Annual Meeting, Poster #1994.
4. Malinzak, R.A., Small, S.R., Rogge,R.D., Archer, D.B., Oja, J.W., Berend, M.E., Ritter, M.A. (2014). The effect of rotating platform TKA on strain distribution and torque transmission on the proximal tibia. The Journal of Arthroplasty, 29: 541-547.
5. Bottlang, M., Erne, O.K., Lacatusu,E., Sommers, M.B., Kessler, O.(2006). A mobile-bearing knee prosthesis can reduce strain at the proximal tibia. Clinical Orthopaedics and Related Research, 447: 105-11.

Indication Statement

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes products, please contact your local DePuy Synthes Representatives.

122491-190904 DSUS