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Physician education to increase adherence to international guidelines is very important. Trial Registration No. CTRI/2013/05/003617. The online version contains supplementary material available at 10.1007/s13193-021-01281-0. The online version contains supplementary material available at 10.1007/s13193-021-01281-0. To compare contact stresses between Attune® and PFC Sigma® total knee arthroplasty (TKA) implants in the presence of knee malalignment. Maximum contact stress after finite element analysis were compared during standing, walkin