Why Trenowin exists
AI is already in orthopaedic practice. It’s in the imaging software reading your patient’s CT, in the robotic system on your next list, and increasingly in the tools your trainees are using to prepare for clinic. The problem isn’t a shortage of AI — it’s a shortage of good clinical thinking about it.
Too many surgeons fall into one of two camps: either uncritical enthusiasm that treats every algorithm as a breakthrough, or blanket dismissal based on poor outputs from poorly constructed inputs. Both positions miss the point. The evidence base for AI in orthopaedics is genuinely interesting, genuinely useful in places, and genuinely limited in others — and it deserves the same critical engagement we’d give any other clinical tool.
Trenowin exists to help orthopaedic surgeons and trainees develop that critical engagement. Not to sell AI, and not to dismiss it.
About the author
I’m a consultant trauma and orthopaedic surgeon working in the Southwest, with a subspecialty interest in shoulder and elbow surgery. I trained across multiple centres in the region — including a Major Trauma Centre and several busy district general hospitals — following Peninsula Medical School, where I intercalated.
I held the first Academic Clinical Fellowship in orthopaedics in the Southwest, and research has been part of my practice since training. Trenowin is an extension of that — a resource that takes the evidence seriously and tries to make it accessible to the people who need it most.
I’m not a computer scientist. I’m a surgeon who has spent time working out what AI actually means for clinical practice, and concluded that the field needs more clinicians engaging with it critically — not fewer.
What Trenowin is not
It is not a technology blog. It is not affiliated with any AI company, vendor, or platform. It does not receive sponsorship or advertising. The positions taken here are based on published evidence and clinical experience — nothing else.
Get in touch
Questions, corrections, or suggestions for topics — contact us at hello@trenowin.co.uk.