The Future of Surgery Is Here: AI in Orthopaedics

Duke specialists are leveraging artificial intelligence to revolutionize spine and trauma care, setting new standards for innovation

Artificial intelligence (AI) is no longer a distant promise—it’s rapidly becoming a cornerstone of modern medicine. In a recent NBC News segment, “How AI Is Transforming Healthcare Across the Country,” hospitals nationwide showcased how AI is improving diagnosis, treatment, and patient outcomes. Among the experts featured was Dr. Brett Rocos, assistant professor of Orthopaedic Surgery at Duke, who highlighted the role of AI in surgical planning and precision care.

From Science Fiction to Surgical Suites

“AI allows us to analyze imaging and patient data with unprecedented precision,” Dr. Rocos explained during the segment. “This means we can anticipate complications, customize surgical approaches, and ultimately deliver safer, more effective care.” For orthopaedic surgery—where millimeters matter—AI-driven tools are helping surgeons plan complex procedures, reduce operative time, and improve recovery trajectories.

NBC’s report highlighted AI’s growing role in healthcare, showcasing algorithms that detect sepsis hours before symptoms worsen, predictive models that pinpoint high-risk patients, and imaging systems that diagnose fractures and tumors faster than traditional methods. These innovations are not replacing doctors but enhancing their skills. As Dr. Rocos emphasized, “It’s about partnership. AI gives us insights that complement our clinical judgment.”

National Momentum and Policy Push

The NBC segment reflects a broader trend. According to U.S. News and HealthPoint analyses, AI is being deployed in emergency rooms, radiology labs, and operating rooms across the country to tackle systemic challenges—from fragmented data to rising costs. The U.S. Department of Health and Human Services (HHS) is championing the adoption of AI to improve efficiency and patient safety, while the National Academy of Medicine has issued guidelines for the safe and equitable integration of AI into care delivery.

AI’s impact is already measurable. Machine learning models predict conditions like sepsis hours earlier than traditional methods, giving clinicians precious time to intervene. In radiology, AI provides a “second set of eyes” that never tires, consistently spotting subtle anomalies in thousands of scans with tireless accuracy.

For spine and trauma specialists like Dr. Rocos, AI’s ability to process vast imaging datasets is transformative. Algorithms can identify deformities, simulate corrective strategies, and even predict postoperative outcomes. “These tools don’t just make surgery safer—they make it smarter,” Rocos noted. “We’re entering an era where technology helps us personalize care in ways we couldn’t imagine a decade ago.”

Balancing Promise and Responsibility

While enthusiasm is high, experts caution that AI adoption must be paired with robust safeguards. Ethical considerations—such as bias in algorithms and patient data privacy—remain at the forefront. National recommendations emphasize the importance of transparent governance, workforce training, and equitable access to ensure that AI benefits all patients, not just those in well-resourced systems.

Looking Ahead

As hospitals integrate AI into workflows, the future of healthcare is becoming more predictive, personalized, and precise. For Duke and leaders like Dr. Rocos, the mission is clear: harness technology to amplify—not replace—the human touch in medicine.

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