PACS-Integrated Artificial Intelligence-Based Software Tool for Rapid and Fully Automatic Bone Fracture Assessment of the Tibial Plateau

Background/Objectives: Tibial plateau fractures (TPF) are complex intra-articular injuries requiring accurate reduction and stable fixation; inadequate planning can prolong recovery and increase osteoarthritis risk. Although CT-based 3D reconstructions are routine, automated 3D identification and separation of individual fracture fragments is uncommon. We evaluated a PACS-integrated AI workflow for automated 3D segmentation of intact bones, fracture detection, and fracture-fragment delineation.