Artificial intelligence in orthopaedics should be built with surgeons, not just for them!
Övrig text i vetenskaplig tidskrift, 2026
Surgical artificial intelligence (AI) is typically validated on one patient population and then deployed unchanged into another, without surgeon input into its design. AI in orthopaedics should be built with surgeons, not simply for them: Surgeons should hold shared authority over the clinical question, data curation, validation, implementation, monitoring and retirement of any tool they use. Specialty-tuned models outperform general-purpose systems on some tasks, but the margin is modest and likely to narrow as generalist models improve. The more durable distinction is who controls the update loop—who can retrain a model on local outcomes, audit its failures and withdraw it when it drifts. Trial evidence shows that a clinician kept in that loop by design, not as an afterthought, outperforms working alone. What determines whether orthopaedic AI fulfils its promise is not model architecture, but who stays accountable to the surgeon at the bedside when the model needs to change.
Författare
Felix C. Oettl
Universität Zürich
Bálint Zsidai
Sahlgrenska universitetssjukhuset
Göteborgs universitet
Jacob F. Oeding
Göteborgs universitet
Ting Cong
University of Pittsburgh
Elmar Herbst
FIFA Medical Centre of Excellence (FMCE)
Gergely Pánics
Semmelweis Egyetem
Uzsoki Street Hospital
FIFA Medical Centre of Excellence (FMCE)
Philipp W. Winkler
Göteborgs universitet
Johannes Kepler Universität Linz (JKU)
Sahlgrenska universitetssjukhuset
Volker Musahl
University of Pittsburgh
Eric Hamrin Senorski
Göteborgs universitet
Sahlgrenska universitetssjukhuset
Romain Seil
Centre Hospitalier de Luxembourg
Christophe Ley
Université du Luxembourg
Yinan Yu
Sahlgrenska universitetssjukhuset
Chalmers, Data- och informationsteknik, Funktionell programmering
Göteborgs universitet
Thomas Tischer
Universität Rostock
Malteser Waldkrankenhaus Erlangen
Stefano Zaffagnini
IRCCS Istituto Ortopedico Rizzoli, Bologna
Umile Giuseppe Longo
Policlinico Universitario Campus Bio Medico
Università Campus Bio-Medico di Roma
Michael T. Hirschmann
Kantonsspital Baselland
Universität Basel
Michael Hantes
University of Thessaly
Kristian Samuelsson
Göteborgs universitet
Sahlgrenska universitetssjukhuset
Journal of Experimental Orthopaedics
2197-1153 (eISSN)
Vol. 13 4 e70920Ämneskategorier (SSIF 2025)
Kirurgi
DOI
10.1002/jeo2.70920