- Article
14 Pages
Purpose: To compare load to failure and fracture morphology between conventional and robotic-assisted medial unicompartmental knee arthroplasty (UKA) and assess their association with tibial cortical index. Methods: Sixteen cadaveric specimens underwent conventional or robotic-assisted UKA (eight per cohort), with a different surgeon performing each technique. Isolated tibiae underwent axial compression at 1 mm/s until fracture. Exploratory regression assessed associations between radiographic cortical index and load to failure, adjusting for cohort. Results: Mean load to failure was 3623 ± 1757 N for robotic-assisted and 3619 ± 1640 N for conventional UKA (p = 0.996). Each 0.01 increase in AP and lateral cortical indices was associated with increases of 236.9 N and 277.8 N, respectively (both p < 0.001). Cohort membership was not significantly associated with failure load after adjustment. Fracture morphology differed descriptively. Conclusions: No significant difference in load to failure was detected; equivalence cannot be inferred. Higher cortical indices were associated with greater failure loads. Conventional technique confounding precludes attributing fracture patterns to robotic assistance, and these laboratory findings do not establish clinical fracture risk.
Biomechanics
19 October 2026








