Evidence map›Paper›PMID 41749766›Full record

ReviewBioengineering (Basel, Switzerland)2026

When Intuition Meets the Algorithm: Medico-Legal Implications of Artificial Intelligence-Driven Decision-Making in Orthopedics.

Giuseppe Basile, Vittorio Bolcato, Giulia Bambagiotti, Luca Bianco Prevot, Livio Pietro Tronconi

Abstract readReview
In one paragraph

Review in Bioengineering (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Giuseppe BasileDepartment of Biomedical Sciences and Public Health, University "Politecnica delle Marche" of Ancona, 60124 Ancona, Italy.ORCID 0000-0001-9602-4223
Vittorio BolcatoAstolfi Associati Law Firm, 20122 Milan, Italy.ORCID 0000-0002-3419-3002
Giulia BambagiottiDepartment of Biomedical Sciences and Public Health, University "Politecnica delle Marche" of Ancona, 60124 Ancona, Italy.ORCID 0009-0004-8890-8677
Luca Bianco PrevotDepartment of Biomedical Sciences and Public Health, University "Politecnica delle Marche" of Ancona, 60124 Ancona, Italy.ORCID 0000-0002-9093-6309
Livio Pietro TronconiResearch Center of Legal Medicine and Risk Management, Maria Cecilia Hospital, GVM Care & Research, 48033 Cotignola, Italy.ORCID 0000-0001-6147-3600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthopedic surgery is undergoing a transformation driven by artificial intelligence (AI), which is reshaping clinico-surgical decision-making. While the operative strategy and professional responsibility traditionally relied on the surgeon's intuition and manual skills, advanced algorithms now provide predictive, analytical, and procedural decision supports. This paradigm shift is redefining the concept of human error as well as the relationship between technological tools and human decision-makers. As a result, the foundational elements of the healthcare liability framework are being affected. This paper offers a narrative discussion on selected applications of artificial intelligence in orthopedic surgical practice, including patient risk stratification, surgical indication and prosthesis positioning, with a particular focus on the liability implications for healthcare professionals who rely on these systems in terms of therapeutic decision-making. The aim is then to provide a comprehensive medico-legal perspective within the highly regulated and high-risk field of biomedicine, acknowledging and critically assessing the roles and responsibilities of all stakeholders involved-patients, healthcare professionals, innovative technologies, healthcare organizations, and facility management-while balancing innovation, evidence-based practice, and accountability in healthcare delivery.

Indexed as

artificial intelligencedecision-making supportliabilitymedico-legalorthopedicstechnology assessment

Identifiers

PMID41749766
PMCPMC12937706

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.