Small language models: The big play for agentic artificial intelligence in orthopaedics
Övrig text i vetenskaplig tidskrift, 2025

While the integration of artificial intelligence in orthopedics is accelerating, the focus has largely been on powerful but resource-intensive Large Language Models (LLMs). This editorial argues for a strategic shift towards Small Language Models (SLMs) for many specialized clinical applications. SLMs offer a more efficient, cost-effective, and adaptable solution for the narrowly-scoped tasks common in orthopedics. We discuss their potential in surgical assistance, personalized patient management, and administrative automation, positing that the future of practical AI in our field lies in a diverse ecosystem of specialized SLMs. However, we also underscore that rigorous validation and the development of robust evaluation benchmarks are critical to ensure their safe and trustworthy integration into clinical practice.

artificial intelligence

orthopaedics

small language models (SLMs)

agentic AI

Författare

Felix C. Oettl

Universität Zürich

James Pruneski

Tripler Regional Med Center

Bálint Zsidai

Skånes universitetssjukhus (SUS)

Sahlgrenska universitetssjukhuset

Göteborgs universitet

Yinan Yu

Chalmers, Data- och informationsteknik, Funktionell programmering

Michael T. Hirschmann

Kantonsspital Baselland

Universität Basel

Kristian Samuelsson

Sahlgrenska universitetssjukhuset

Göteborgs universitet

Knee Surgery, Sports Traumatology, Arthroscopy

0942-2056 (ISSN) 1433-7347 (eISSN)

Vol. In Press

Ämneskategorier (SSIF 2025)

Människa-datorinteraktion (interaktionsdesign)

Ortopedi

DOI

10.1002/ksa.70126

PubMed

41144760

Mer information

Senast uppdaterat

2025-11-13