Latest / Deep Dive Ortho — Orthopaedic Surgery, AI & Digital Health Podcast. / Orthopaedic Trends for 2025
Transcript
- 0:00You know, the world of orthopedics in 2025, it
- 0:03isn't just about fixing bones anymore, is it?
- 0:05Not at all. It feels like it's exploding with
- 0:08cutting edge technology, really transforming
- 0:10how care is delivered right now. It certainly
- 0:12is a very exciting time. Welcome to the deep
- 0:15dive. You sent us well. Quite a stack of sources,
- 0:18the latest articles, press releases, expert insights,
- 0:21all buzzing with the newest innovations in orthopedic
- 0:24care. Our mission today is to guide you through
- 0:27this material to unpack the most important bits
- 0:29of knowledge you need to know about what's happening
- 0:32this year. Sounds good. And joining me to navigate
- 0:35these, frankly, quite exciting trends is our
- 0:38expert guide for this deep dive, Professor Mo
- 0:42Imam. Thank you. It's a real pleasure to explore
- 0:45such a dynamic field with you. It's moving so
- 0:47quickly. Absolutely. So looking across these
- 0:50sources... A few major themes just jump out immediately,
- 0:53don't they? They really do. We're seeing the,
- 0:55well, the pervasive influence of AI, genuinely
- 0:58revolutionary surgical technologies, smarter
- 1:01implants built with advanced materials, and a
- 1:05huge shift towards patient -centered care, even
- 1:08outpatient care. Quite a list. It's a lot. But
- 1:10let's jump right in, shall we? See what these
- 1:12sources tell us. Let's do it. OK, the first thing
- 1:14that's just impossible to miss is AI. It feels
- 1:17like it's everywhere. But our sources highlight
- 1:20some specific, really powerful applications in
- 1:22orthopedics. They seem to go way beyond simple
- 1:25image analysis or diagnosis. What's really grabbing
- 1:29you here? Well, I think what really stands out
- 1:31is how AI is integrating into quite fundamental
- 1:34processes. Take surgical planning, for instance.
- 1:36OK. Historically, getting a detailed 3D anatomical
- 1:39model for complex surgeries needed high radiation
- 1:42CT scans, maybe MRI, and the manual work to segment
- 1:45those images. That could take days, sometimes
- 1:48weeks. Right, a real bottleneck. Exactly. But
- 1:51these sources show AI -driven tools can now generate
- 1:54these detailed 3D models, and increasingly from
- 1:57standard x -rays. Hold on, from x -rays? That
- 1:59sounds like a huge shift, doesn't it? It is.
- 2:02Think about it. Less radiation, less cost. potentially
- 2:06much more accessible. That's one of those real
- 2:09sort of nuggets from this material, I think.
- 2:11This single advancement dramatically lowers the
- 2:15barriers to sophisticated planning. It gives
- 2:17surgeons access to critical insights much faster.
- 2:20It potentially turns a process that took weeks
- 2:23into, well, just a few clicks. And it helps ensure
- 2:27consistent quality, opens up advanced planning
- 2:29to many more cases. Okay, so beyond just planning
- 2:32the shapes, what else is AI doing? Well, it's
- 2:36proving crucial in predictive modeling, too.
- 2:38Imagine you're designing an implant. AI can analyze
- 2:41vast data sets to predict its performance under
- 2:43various stresses. Or it could anticipate how
- 2:46different surgical techniques might fare in specific
- 2:48patient anatomies. So trying to foresee problems.
- 2:51Precisely. And you see companies like Quest Diagnostics
- 2:53collaborating with Google Cloud, using generative
- 2:56AI specifically to streamline data. personalized
- 2:59parts of the customer experience. It shows how
- 3:01AI touches everything, really, from the lab right
- 3:03through to the clinic. And it's even transforming
- 3:05training. There's mention of redefined surgery,
- 3:07for example. They have an AI -powered immersive
- 3:113D training platform. So better simulations.
- 3:14It's more than just simulation. It allows large
- 3:17-scale training delivered by top experts, but
- 3:19in very realistic scenarios. Think about the
- 3:22bottleneck in surgical training through traditional
- 3:24fellowships. Right. It's very limited, one -on
- 3:26-one, often. Exactly. This platform offers the
- 3:29potential to scale expertise much more rapidly,
- 3:33training thousands simultaneously. That potential
- 3:35scale for training is, well, it's quite astonishing.
- 3:39So pulling this together then for, you know,
- 3:41the patient or the surgeon, what's the practical
- 3:44benefit of all this AI integration? What does
- 3:47it really mean? Day to day. For the surgeon.
- 3:50It's about enhanced precision, definitely, but
- 3:52also remarkable efficiency. Reducing complex
- 3:55planning to minutes, that saves incredibly valuable
- 3:58time. For the patient, it points towards better
- 4:01outcomes. Because the planning is more precise,
- 4:04it's potentially more personalized based on insights
- 4:07from enormous data sets. And as you pointed out,
- 4:10in some cases, it means reducing radiation exposure,
- 4:13shifting from CT or MRI to x -rays for that 3D
- 4:16modeling. Right. So fundamentally, it's enabling
- 4:18better, faster and potentially safer planning.
- 4:21Better decision making before the first decision
- 4:23is even made. OK, let's move then from the planning
- 4:26stage into the operating theater itself. Once
- 4:32the surgeon is scrubbed in. What sort of advanced
- 4:34technology is guiding their hands, or maybe giving
- 4:37them a better view? Right. This is where robotic
- 4:39assistance and advanced visualization are really
- 4:42making significant impacts. Robotics, yeah. That
- 4:44feels like it's been growing for a while. It
- 4:45has, and it continues its rapid expansion. The
- 4:48market for orthopedic surgical robots. I mean,
- 4:51the projection is something like $16 billion
- 4:52by 2030. That gives you an idea of how mainstream
- 4:55this is becoming. Huge numbers. But are the robots
- 4:58doing the surgery? No, no. It's important to
- 5:01be clear. These systems aren't replacing the
- 5:03surgeon. They're augmenting them. OK, augmenting.
- 5:06They enhance precision. They help reduce variability.
- 5:10Maybe consistency is a better word. Yeah, especially
- 5:12in complex procedures like total knee replacements
- 5:15hip surgery spinal fusions Robots help with incredibly
- 5:18precise implant alignment for example, and they
- 5:21facilitate minimally invasive approaches Which
- 5:25of course is a key driver for faster patient
- 5:27recovery, right? We see established systems like
- 5:31Zimmer biomets our rosé hip system being used
- 5:33quite routinely now in procedures like direct
- 5:36anterior total hip replacement Okay, so the robots
- 5:38help with the doing What about the seeing? How
- 5:41are surgeons getting better eyes inside the body
- 5:44during the procedure? Ah, that's another really
- 5:46fascinating area. Surgical navigation is moving
- 5:49beyond just traditional screens placed somewhere
- 5:51in the OR. OK. Augmented reality, even holographic
- 5:54navigation. They're really emerging now. Novorod's
- 5:57Vizar system is a great example mentioned in
- 5:58the sources. It's essentially a surgical GPS.
- 6:01A GPS for surgery. Kind of. It projects anatomical
- 6:05imaging, could be 2D images, could be 3D holograms
- 6:08directly onto the patient's body right in the
- 6:10surgeon's field of view. Wow. OK. So they're
- 6:12seeing the plan overlayed on the actual patient.
- 6:14Exactly. And it provides incredibly accurate
- 6:16guidance, apparently down to the millimeter.
- 6:19And we're seeing FDA clearances now for these
- 6:22AR and AI guidance platforms, companies like
- 6:25Medivis, Pixi Medical, Proprio. They're even
- 6:28getting clearance for use in US ambulatory surgery
- 6:31centers. which suggests they're becoming more
- 6:33practical, more accessible. Precisely. It speaks
- 6:36to their increasing practicality. And it's not
- 6:38just AR, advanced 3D optical scanners, like those
- 6:42from Visi, which used to be advanced scanners.
- 6:44They're providing detailed intraoperative imaging
- 6:47and software analysis too. So real -time information.
- 6:49Real -time actionable intelligence right there
- 6:52during complex procedures. It really sounds like
- 6:54these technologies are taking complex surgeries
- 6:56and... I don't know, by adding these layers of
- 6:58precision and real -time data visualization,
- 7:02they're making them potentially simpler to execute,
- 7:04safer for the patient. That's a great way to
- 7:06put it, I think. It's about providing sophisticated
- 7:08tools that enhance the surgeon's own innate skill
- 7:11and judgment, making the incredibly challenging
- 7:13slightly more manageable, perhaps, and certainly
- 7:15more consistent. Like giving surgeons a new set
- 7:18of finely tuned senses. Yes, exactly. OK, let's
- 7:21shift gears slightly then. We've talked about
- 7:23the planning tools, the tools for surgical execution.
- 7:26What about what actually stays inside the body,
- 7:29the implants themselves? What's new and impactful
- 7:32in materials and functionality this year? Right.
- 7:34implant innovation. Well, it feels like it's
- 7:38undergoing a bit of a renaissance. One key trend
- 7:41is the increased use of biodegradable materials.
- 7:44Think magnesium alloys or bio -resorbable screws
- 7:47and plates. Things that dissolve. Essentially,
- 7:50yes. The market for these is projected to grow
- 7:53significantly, potentially over $16 billion by
- 7:562035, according to one source. And the benefit?
- 7:59The real benefit is they're designed to safely
- 8:01dissolve within the body over time. So for patients,
- 8:04maybe particularly in trauma cases or pediatric
- 8:06cases where bones heal and hardware might otherwise
- 8:09need removing later. Ah, avoiding a second surgery.
- 8:12Exactly. Avoiding a second operation altogether.
- 8:15That's a significant win for the patient, obviously.
- 8:18Less risk, less cost, less recovery time. Definitely.
- 8:21What else is happening with materials? Another
- 8:23critical area is fighting infection. Antimicrobial
- 8:27coatings are being developed for implants. We
- 8:30see companies like Onco Surgical or Zimmer Biomet's
- 8:33Persona Solution, PPS Femur mentioned. Because
- 8:35infection is still a big risk. It remains a persistent,
- 8:38serious risk in implant surgery, yes. So materials
- 8:41engineered to actively combat that risk are vital.
- 8:45We're also seeing composite polymers, ceramics,
- 8:49being engineered not just for strength, but to
- 8:52actively encourage bone growth. To improve osseointegration
- 8:56to integration. That's the bone bonding with
- 8:57the implant. That's the crucial process Yes,
- 9:00where your natural bone tissue grows onto and
- 9:03bonds with the implant surface for stability
- 9:04Getting that right is key to long -term success.
- 9:08Okay materials getting smarter And then there
- 9:10are smart implants that always sounds a bit science
- 9:12fiction, but they're very real now aren't that
- 9:14what do they actually do? They're very real,
- 9:16yes. And quite remarkable. Smart implants basically
- 9:20have tiny sensors embedded within them. Okay.
- 9:23After surgery, they collect real -time objective
- 9:26data right from inside the patient's body. What
- 9:29kind of data? We're talking about medical grade
- 9:31data. Things like range of motion, how the implant
- 9:33is aligning, weight bearing, even step count,
- 9:37or early indicators of how the healing is progressing.
- 9:40Right. Data you couldn't get otherwise. Exactly.
- 9:43And this data can be transmitted wirelessly to
- 9:46the surgeon or the clinical team. Zimmer Biomed's
- 9:49Persona IQ Smart Knee Implant is probably the
- 9:51most prominent example right now. It provides
- 9:54really valuable insights into how the patient
- 9:56is actually recovering once they're outside the
- 9:58clinic walls. So instead of just asking the patient,
- 10:00you know, how are you feeling at a follow -up
- 10:02appointment weeks later, the surgeon has objective
- 10:06data on their recovery journey from day one.
- 10:08Precisely. This data -driven approach is fundamentally
- 10:11changing post -operative care. Well, it allows
- 10:13clinicians to monitor recovery remotely. They
- 10:17can potentially intervene earlier if issues arise.
- 10:20And they can tailor the rehabilitation plan much
- 10:23more effectively to the individual patient. There
- 10:26are companies, like Inkwell Health mentioned
- 10:28in the sources, specifically focused on providing
- 10:31clinicians with this kind of real -time data
- 10:33to truly optimize that recovery process. It moves
- 10:37follow -up care from being periodic snapshots
- 10:41to something much closer to continuous monitoring.
- 10:43That connectivity and data, it brings us nicely
- 10:45to the final major trend we're seeing across
- 10:48these sources, personalization and making patient
- 10:51care much more patient -centric. How do all these
- 10:54technologies tie Well, the demand for solutions
- 10:57tailored to the individual is definitely a major
- 10:59driving force. Right. And this starts with things
- 11:01like patient -specific implants and custom surgical
- 11:03guides, using detailed imaging, often enhanced
- 11:06by AI analysis, as we discussed and produced
- 11:09with advanced manufacturing techniques like 3D
- 11:12printing. Companies like Restore Third are mentioned
- 11:14as focusing on this. Surgeons can get implants
- 11:17and tools designed precisely for a patient's
- 11:19unique anatomy. So a better fit. The aim is absolutely
- 11:23a better fit. better function, and ultimately
- 11:26better longevity for the implant. It's a direct
- 11:29link back to the AI and the advanced imaging
- 11:31we talked about earlier. Makes sense. And this
- 11:34drive for personalization also extends to where
- 11:36care is delivered. There's a really significant
- 11:39trend towards more outpatient surgeries, often
- 11:42performed in Amulatory Surgery Centers, or ASCs.
- 11:46Right. And why is that shift happening now, particularly?
- 11:49It's several factors coming together, really.
- 11:52Improved surgical techniques, certainly. less
- 11:54invasive approaches, which are enabled by the
- 11:56robotics and navigation we mentioned, better
- 11:58pain management, shorter acting anesthetics,
- 12:01they all contribute. But crucially, changes from
- 12:04bodies like the Centers for Medicare and Medicaid
- 12:06Services, CMS, in the US are adding more orthopedic
- 12:09procedures to the list that are covered in ASCs.
- 12:12That makes it more financially viable. Ah, the
- 12:14payment structures are catching up. Exactly.
- 12:17And for patients, this often means potentially
- 12:19shorter hospital stays or no overnight stay at
- 12:21all, recovering in the comfort of their own home
- 12:24faster and often lower costs compared to a traditional
- 12:28hospital setting. That sounds like a win -win.
- 12:31In many cases, it can be. And alongside that
- 12:33shift in location, digital health solutions are
- 12:35improving access and streamlining the patient
- 12:37journey. Well, the Hurt app is an interesting
- 12:40example mentioned. It offers free 247 virtual
- 12:45access to orthopedic expertise by partnering
- 12:47with physician groups. So quick advice anytime.
- 12:49It helps patients get quick advice outside standard
- 12:52clinic hours, yes. And it potentially alleviates
- 12:54some pressure on busy clinics. Partnerships,
- 12:57like the one mentioned between hurt and relation,
- 13:00are focused on improving this kind of access
- 13:02and the user experience. Other digital platforms
- 13:05are helping practices manage patient engagement,
- 13:07data analytics, operational efficiency, smoothing
- 13:10the whole process. And we probably shouldn't
- 13:13forget regenerative medicine, things like PRP,
- 13:17stem cell injections. These offer non -surgical
- 13:19personalized options for certain conditions,
- 13:22which meets that growing patient demand for less
- 13:26invasive alternatives where they're appropriate.
- 13:28It's fascinating, actually, how all these threads
- 13:30seem to connect. You've got AI refining. the
- 13:34planning and enabling personalized implants,
- 13:37then advanced surgical tech allowing for less
- 13:39invasive approaches, which enables the shift
- 13:42to outpatient care. Exactly. And then the smart
- 13:44implants providing the data for that personalized
- 13:47remote recovery monitoring. Absolutely. When
- 13:50you look across all these trends, the AI, robotics,
- 13:53AR, smart implants, personalized approaches,
- 13:56the shift outpatient care, they really do all
- 13:58seem to converge on the same goals. Which are?
- 14:01Increasing precision, accelerating recovery times,
- 14:04improving outcomes, and ultimately making orthopedic
- 14:07care significantly more patient -centered in
- 14:092025. It really is an incredibly exciting time
- 14:12in the field. And if you found this deep dive
- 14:14valuable, perhaps consider rating the show or
- 14:17sharing it with a colleague who might also find
- 14:19it insightful. As we wrap up, though, these rapid
- 14:22technological leaps are clearly reshaping the
- 14:25landscape. But it does leave us with a compelling
- 14:27question, doesn't it? Perhaps one for you, the
- 14:29listener, to consider. As AI takes over more
- 14:32planning tasks, robots enhance execution, and
- 14:35smart implants provide this constant stream of
- 14:37data, how does the fundamental role of the human
- 14:40expert, the surgeon, the clinician actually change?
- 14:43That's the key question, isn't it? And on a larger
- 14:46scale, how will our health care systems truly
- 14:48adapt to integrate and manage all this new technology,
- 14:52the vast amount of data it generates, while still
- 14:55navigating the ethical considerations that inevitably
- 14:58come with such powerful tools? Indeed. The technology
- 15:02is a powerful enabler, there's no doubt. But
- 15:04human judgment, empathy, expertise, they remain
- 15:06absolutely critical in actually delivering care.
- 15:09Technology is a tool, not the whole answer. A
- 15:12lot to think about as these innovations continue
- 15:14to unfold. Thank you so much for joining us for
- 15:16this deep dive into the cutting edge of orthopedic
- 15:18innovation in 2025. My pleasure. Thank you.