Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2025; 16(2): 102252
Published online Feb 18, 2025. doi: 10.5312/wjo.v16.i2.102252
Some artificial intelligence tools may currently be useful in orthopedic surgery and traumatology
Emerito Carlos Rodriguez-Merchan
Emerito Carlos Rodriguez-Merchan, Department of Orthopedic Surgery, Hospital Universitario La Paz-IdiPaz, Madrid 28046, Spain
Author contributions: Rodriguez-Merchan EC completed all work on the manuscript.
Conflict-of-interest statement: Dr. Rodriguez-Merchan has nothing to disclose.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Emerito Carlos Rodriguez-Merchan, MD, PhD, Consultant Orthopedic Surgeon (Emeritus), Department of Orthopedic Surgery, Hospital Universitario La Paz-IdiPaz, Paseo de la Castellana 261, Madrid 28046, Spain. ecrmerchan@hotmail.com
Received: October 12, 2024
Revised: January 5, 2025
Accepted: January 14, 2025
Published online: February 18, 2025
Processing time: 122 Days and 10.3 Hours
Abstract

Artificial intelligence (AI) can help in diagnosing fractures and demonstrating effusions, dislocations, and focal bone lesions in both adult and pediatric aged individuals and also aid in early tumor discovery (bone osteosarcoma) and in robot-assisted surgery. A recent AI model [Mask R-CNN (region-based convolutional neural network)] has shown to be dependable for detecting surgical target zones in pediatric hip and periarticular infections, offering a more convenient and quicker alternative to conventional methods. It can help inexperienced physicians in pre-treatment evaluations, diminishing the risk of missed diagnosis and misdiagnosis. AI has some very interesting applications in orthopedic surgery, which orthopedic surgeons should be aware of and if possible use. Although some interesting advances have been made recently on AI in orthopedic surgery, its usefulness in clinical practice is still very limited. Ethical concerns, such as transparency in AI decision-making, data privacy, and the potential loss of human intuition cannot be forgotten. Besides, it is paramount to explore how to gain trust from both healthcare professionals and patients in the utilization of AI.

Keywords: Artificial intelligence; Orthopedic surgery; Pediatric orthopedics; Clinical applications

Core Tip: Artificial intelligence has some very interesting applications in orthopedic surgery (including pediatric orthopedics), which orthopedic surgeons (including pediatric orthopedic surgeons) should be aware of and if possible use. However, although some interesting advances have been made recently on Ai in orthopedic surgery, its usefulness in clinical practice is still very limited.