-
動態
本期仁醫醫療特別邀請到國際著名膝關節外科專家Prof. Frosch做專題訪問。Prof. Frosch現任漢堡大學附屬埃彭多夫醫院創傷外科與骨科主任、BG創傷外科醫院漢堡分院的院長，也是中德骨科與創傷外科交流學會（DCGOU）候任主席。作為兩家大型創傷中心的靈魂人物，Prof. Frosch計劃建立更緊密的創傷救治體係，實現資源互通惠澤患者。
Prof. Frosch是國際上為數不多的、可以僅通過關節鏡手術微創治療後斜韌帶損傷的專家之一。Prof. Frosch團隊開發、改良了多種手術技術和入路，如Frosch入路、膝關節後外側角關節鏡下重建術等。
精彩回顧
戳視頻 搶先看
1、您是何時決定從醫的呢？又為什麼專攻運動醫學、創傷外科尤其是膝關節外科呢？
這是一個好問題。我18歲(sui)的(de)時(shi)候(hou)是(shi)德(de)國(guo)國(guo)家(jia)滑(hua)雪(xue)隊(dui)越(yue)野(ye)滑(hua)雪(xue)和(he)跳(tiao)台(tai)滑(hua)雪(xue)運(yun)動(dong)員(yuan)。當(dang)時(shi)我(wo)的(de)膝(xi)關(guan)節(jie)受(shou)了(le)重(zhong)傷(shang)，內(nei)側(ce)副(fu)韌(ren)帶(dai)斷(duan)裂(lie)了(le)，花(hua)了(le)大(da)概(gai)一(yi)年(nian)的(de)時(shi)間(jian)才(cai)康(kang)複(fu)。從(cong)那(na)時(shi)起(qi)我(wo)開(kai)始(shi)考(kao)慮(lv)學(xue)習(xi)醫(yi)學(xue)，並(bing)且(qie)我(wo)有(you)預(yu)感(gan)這(zhe)將(jiang)會(hui)非(fei)常(chang)有(you)意(yi)思(si)。並(bing)且(qie)我(wo)萌(meng)生(sheng)了(le)專(zhuan)攻(gong)創(chuang)傷(shang)外(wai)科(ke)領(ling)域(yu)的(de)想(xiang)法(fa)，因(yin)為(wei)我(wo)對(dui)創(chuang)傷(shang)很(hen)感(gan)興(xing)趣(qu)。
Interesting question. In former times, when I was 18, I was in the German national team for cross-country skiing and ski jumping. And I had a serious knee injury when I ruptured my medial collateral ligament and it took me out for almost 1 year. This was the time when I was thinking about studying medicine because I had the feeling that this is very interesting. And also there comes the idea to go in the trauma surgery area because I was very interested in injuries.
2、您的早年經曆如何塑造你的成就？
在zai我wo還hai是shi個ge學xue生sheng和he年nian輕qing醫yi生sheng時shi有you幸xing遇yu見jian了le很hen多duo好hao老lao師shi。他ta們men對dui我wo診zhen斷duan和he治zhi療liao患huan者zhe影ying響xiang深shen遠yuan。時shi至zhi今jin日ri，這zhe段duan時shi期qi的de經jing曆li還hai深shen刻ke地di影ying響xiang著zhe我wo的de日ri常chang實shi踐jian。
I had the chance to have very good teachers as a student, also as a young doctor. And they influenced me highly in how I realize and diagnose problems and how I proceed to treat patients. And this experience in my former times as a student, as well as a young doctor, influenced me until today in my daily practice.
3、您職業生涯中是否有對您來說很重要的導師，他們教會您什麼，是如何啟發您的呢？
很難說出具體哪一位對我的影響最大。有好幾位對我來說都很重要的導師。有一位是我在美國北科羅拉多州Steadman Hawkins醫院學習時的導師，當時我是一名實習醫生，這位導師深刻影響了我治療病人的方式，也激發了我對膝關節損傷的濃厚興趣。
隨後，正如我所提到的一樣，我有幸在幾位非常好的導師手下學習。尤其是我在哥廷根大學工作時，Prof. Stanković 給予我非常大的幫助，並且對我影響深刻。他教導我如何做手術、如何治療病人。還有我在哥廷根工作時的主任Prof. Stürmer，他在治療複雜損傷方麵對我影響非常大。
It is difficult to speak about one greatest influence. I would say I had a couple of great influences. One was when I was in Vail, Colorado in the Steadman Hawkins Clinic where I was a student there, and this experience highly influenced me in my way to treat patients and also brought up my high interest in knee injuries. And then in later times, I had very good teachers, as I already mentioned, especially during my time in Göttingen, I had really excellent teacher Prof. Stanković who helped me and influenced me very much. He taught me in doing surgeries and treating patients. But there were also other colleagues like my former Chief Prof. Stürmer, who also influenced me highly in treating complex injuries and how to proceed with these injuries.
4、從您自身經驗出發，對於一名醫生來說，到不同醫院或者不同國家訪問的重要性？
worenweidaobutongdeguojialejiebutongdeyiliaoxitongshifeichangzhongyaode，zhehuiqifawomendechuangxinsiwei。lejiebutongdezhiliaolinianshifeichangyouqude，yerangwomenyoujihuicongzhongduozhiliaolinianzhongtiaoxuanchuzuihaode。tongshiwomenyenengcongkexuedejiaoducepingchuzuihaodeyiliaoxitonghezhiliaolinian。
因此（訪問）dakailewomendesilu，zhishaorangwomenyishidaoshijieshanghaiyouhenduobutongdelinianhefangshi，keyigeihuanzhedailaihaodeliaoxiao，bangzhuwomenchengweiyiminggenghaodewaikeyisheng。
I think it's very important to see different medical systems in different countries because it opens your mind to innovation. And it's very interesting to see different treatment concepts which gives us the chance to decide which treatment concept is the best. And also, on a scientific basis, we can evaluate, which systems and which treatment concepts are the best. So it opens the mind, and at least, brings us to our mind that there are different concepts and different ways, which sometimes are very successful to treat patients, and that helps us to be better doctors and better surgeons.
5、您是中德骨科與創傷外科交流學會（DCGOU）候任主席，您認為國際學會間的合作對學科發展有什麼重要意義？
worenweizhebujinhuituidonggukehechuangshangwaikedefazhan，yeshiguojiajianjiaoliudeniudai。wojiaodezheshiyigefeichangzhongyaodezhengzhixinhao，guliguojiazhijiantedingxuekedejinmihezuo。
對我來說，（成為候任主席）是(shi)我(wo)能(neng)做(zuo)的(de)小(xiao)小(xiao)貢(gong)獻(xian)。我(wo)們(men)與(yu)中(zhong)國(guo)達(da)成(cheng)共(gong)識(shi)，可(ke)以(yi)與(yu)中(zhong)德(de)兩(liang)國(guo)經(jing)驗(yan)豐(feng)富(fu)的(de)外(wai)科(ke)專(zhuan)家(jia)共(gong)享(xiang)經(jing)驗(yan)。所(suo)以(yi)，在(zai)我(wo)看(kan)來(lai)這(zhe)不(bu)僅(jin)帶(dai)動(dong)了(le)骨(gu)科(ke)與(yu)創(chuang)傷(shang)外(wai)科(ke)的(de)學(xue)科(ke)發(fa)展(zhan)，也(ye)是(shi)連(lian)接(jie)兩(liang)國(guo)的(de)紐(niu)帶(dai)。
在(zai)中(zhong)國(guo)有(you)很(hen)多(duo)經(jing)驗(yan)豐(feng)富(fu)的(de)外(wai)科(ke)醫(yi)生(sheng)，他(ta)們(men)非(fei)常(chang)具(ju)有(you)創(chuang)新(xin)精(jing)神(shen)。當(dang)然(ran)德(de)國(guo)在(zai)骨(gu)科(ke)和(he)創(chuang)傷(shang)外(wai)科(ke)領(ling)域(yu)也(ye)是(shi)極(ji)具(ju)創(chuang)新(xin)性(xing)。所(suo)以(yi)我(wo)認(ren)為(wei)這(zhe)是(shi)一(yi)個(ge)非(fei)常(chang)完(wan)美(mei)的(de)銜(xian)接(jie)。大(da)家(jia)一(yi)起(qi)創(chuang)新(xin)、相互學習，互相評價對方的創新成果，也許討論很激烈，充滿批判性，但是彼此開誠布公、暢所欲言。
It's not only the development of orthopedic trauma and orthopedics surgery, it's also a very important political signal to connect countries and to work together in a specific field. It's only a small contribution for me, and also political agreement to see China on the same level from eye to eye, exchanging experiences with these really experienced surgeons in China and also very experienced surgeons in Germany. So for me, I would say it's not only the way to bring forward orthopedics and trauma surgery, it's also a thing to connect countries.
There are a lot of experienced surgeons in China, who are very innovative. And I think we, in Germany, are also very innovative in orthopedics and trauma surgery. It's a really perfect connection to be together innovative and to see and learn from each other, and to evaluate innovations, maybe in a discussing and critical, but very honest way.
6、您於2020年起任BG創chuang傷shang外wai科ke醫yi院yuan漢han堡bao分fen院yuan院yuan長chang，恭gong喜xi您nin。這zhe家jia醫yi院yuan是shi全quan球qiu知zhi名ming的de創chuang傷shang外wai科ke專zhuan科ke醫yi院yuan，也ye是shi德de國guo最zui大da的de創chuang傷shang中zhong心xin之zhi一yi。能neng否fou請qing您nin給gei我wo們men分fen享xiang您nin接jie下xia來lai幾ji年nian的de計ji劃hua？
創傷外科醫院漢堡分院是一家由德國法定事故保險協會運營的創傷專科醫院。我供職的另一家醫院-漢(han)堡(bao)大(da)學(xue)埃(ai)彭(peng)多(duo)夫(fu)醫(yi)院(yuan)的(de)創(chuang)傷(shang)科(ke)規(gui)模(mo)也(ye)非(fei)常(chang)大(da)。兩(liang)家(jia)醫(yi)院(yuan)在(zai)漢(han)堡(bao)市(shi)的(de)同(tong)一(yi)個(ge)區(qu)域(yu)。因(yin)此(ci)我(wo)有(you)把(ba)這(zhe)兩(liang)家(jia)醫(yi)院(yuan)資(zi)源(yuan)整(zheng)合(he)起(qi)來(lai)的(de)想(xiang)法(fa)，讓(rang)兩(liang)家(jia)醫(yi)院(yuan)緊(jin)密(mi)合(he)作(zuo)。兩(liang)家(jia)醫(yi)院(yuan)的(de)行(xing)政(zheng)管(guan)理(li)是(shi)獨(du)立(li)的(de)，但(dan)是(shi)在(zai)創(chuang)傷(shang)病(bing)人(ren)的(de)治(zhi)療(liao)上(shang)合(he)作(zuo)非(fei)常(chang)緊(jin)密(mi)。
因為我不僅是BG創傷外科醫院漢堡分院的院長、chuangshangwaikezhuren，haishihanbaodaxueaipengduofuyiyuanchuangshangwaikezhuren。wodexiangfashiliangjiayiyuanhezuo，zaihanbaoshigoujianyigewanshandechuangshangjiuzhitixi，rangbingrenwulunzaiBG創chuang傷shang外wai科ke醫yi院yuan還hai是shi在zai大da學xue醫yi院yuan都dou能neng接jie受shou到dao最zui好hao的de治zhi療liao。實shi現xian這zhe個ge想xiang法fa主zhu要yao靠kao專zhuan家jia。無wu論lun病bing人ren在zai哪na家jia醫yi院yuan，都dou有you最zui好hao的de專zhuan家jia在zai病bing人ren身shen邊bian。所suo以yi我wo們men組zu建jian了le一yi支zhi同tong時shi在zai兩liang家jia醫yi院yuan工gong作zuo的de專zhuan家jia團tuan隊dui。
正因為我同時管理著兩家醫療機構，計劃實施起來非常得心應手。相對而言，我為BG創傷醫院設立的目標更多。一方麵是病人的康複，大學醫院是無法提供康複治療的。因此，創傷病人尤其是受了工傷的病人，會選擇到BG創chuang傷shang醫yi院yuan進jin行xing康kang複fu治zhi療liao。另ling一yi方fang麵mian，從cong事shi故gu現xian場chang的de急ji救jiu到dao康kang複fu後hou病bing人ren重zhong返fan社she會hui，我wo們men希xi望wang每mei一yi個ge環huan節jie都dou能neng為wei病bing人ren提ti供gong最zui好hao的de治zhi療liao並bing形xing成cheng良liang好hao閉bi環huan。
The BG which is run by the Workers’ Compensation Insurance is a special trauma hospital for workers. The university hospital also has a big trauma department, and both of them are located in the same town in Hamburg. So it came up that it would make sense to bring these two hospitals together and that it's a kind of a connection or a very deep collaboration. They are still separated from the administration, but they collaborate in the field of trauma surgery very closely.
Since I'm the Medical Director of the BG Trauma Center and the Head of the Trauma Department, and also the Head of the Trauma Department in the University Medical Center, my idea is to bring these two centers even more together and create a system for trauma patients here in Hamburg, which enables every patient to get the best treatment from the best specialist in this field, either in the University Medical Center or in the BG Trauma Center. The best doctor comes to the patient no matter the patient is in BG Trauma Center or in the University Medical Center. So we have teams which work in both hospitals, which is, for me, very important. I am the head of both institutions and that even makes it easier for me to collaborate and to bring both groups together.
The BG Trauma Hospital has some more goals, one of which is to rehabilitate patients, which is not possible in the University Medical Center. So, for rehabilitation, people, usually especially the workers, come to the BG Trauma Hospital. And it is also very important to get the chain from rescue from the accident scene till the complete rehabilitation, we want to have a closed chain for these people that they get the best treatment.
7、您同時也是漢堡大學埃彭多夫醫院骨科與創傷外科主任及創傷外科係主任，您如何平衡在兩家醫院間的行政、臨床、科研、教學工作及個人生活？
好問題。平心而論，同時供職於兩家如此大的醫院真的非常勞神費力。但是我很幸運，兩家醫院的團隊成員都非常配合我。我在BG創傷外科醫院（漢堡分院）的(de)團(tuan)隊(dui)非(fei)常(chang)優(you)秀(xiu)，在(zai)漢(han)堡(bao)大(da)學(xue)埃(ai)彭(peng)多(duo)夫(fu)醫(yi)院(yuan)的(de)團(tuan)隊(dui)也(ye)非(fei)常(chang)出(chu)色(se)，能(neng)與(yu)這(zhe)樣(yang)的(de)團(tuan)隊(dui)共(gong)事(shi)，我(wo)倍(bei)感(gan)榮(rong)幸(xing)。他(ta)們(men)給(gei)予(yu)我(wo)全(quan)方(fang)位(wei)的(de)支(zhi)持(chi)，如(ru)行(xing)政(zheng)工(gong)作(zuo)、臨床工作、科研活動等。我們在漢堡大學創傷外科有獨立的科研團隊，在BG創傷外科醫院（漢堡分院）也有獨立的科研團隊。因此，團隊對我的支持是我能平衡眾多職務的主要原因。
That's a good question. It's very demanding, to be honest, to be in two very big hospitals. But I have the really great situation that I have really excellent collaborators in both clinics. I have a really excellent team here in the BG Trauma Hospital. And I also have a really great team in the University Medical Center of Hamburg-Eppendorf. It's really a great honor for me to work with such a team who supports me in every area where I have tasks, like administration, like clinical practice, like research activities - we have a research team at the university in the trauma department, and we also have a research team at the BG hospital. This is what enables me to manage these different tasks.
8、您對如何培養年輕醫生有好的建議嗎？
很難給出太具體的建議，我隻能從我的經驗出發分享我的看法。2018年以前，我一直供職於漢堡另一家大型創傷中心，不是大學醫院，是Asklepios醫院集團聖喬治分院。在那裏我培養了自己的團隊，這個團隊的成員後來都跟隨我到漢堡大學和BG創傷外科醫院（漢堡分院）工作。
我非常幸運，多年來建立了自己的團隊並且大家也願意跟隨我到新的單位工作。這兩家醫院原有的團隊也非常出色。我帶著我的團隊、理念、chuangxindaidaolexindeyiyuan，wodetuanduiheyuanyoudetuanduipeihedeyehenhao。yinci，wotongguotuanduideronghebawodelinianhechuangxindaidaoxindegongzuoyiyuan。wofeichangxingyun，liangjiayiyuanyuanyoudetuanduihenleyujieshouwodailaidexinlinian。
我認為管理團隊成功的關鍵是：公開透明、敢做敢言、打da破po隔ge閡he。整zheng個ge團tuan隊dui要yao勇yong於yu討tao論lun新xin的de技ji術shu和he理li念nian。成cheng員yuan間jian的de和he諧xie相xiang處chu也ye很hen重zhong要yao，唯wei有you這zhe樣yang才cai能neng帶dai領ling團tuan隊dui的de進jin步bu。如ru果guo團tuan隊dui內nei部bu有you鬥dou爭zheng，這zhe就jiu非fei常chang棘ji手shou。我wo在zai兩liang家jia醫yi院yuan的de團tuan隊dui都dou非fei常chang優you秀xiu，互hu相xiang之zhi間jian緊jin密mi合he作zuo。這zhe對dui我wo來lai說shuo彌mi足zu珍zhen貴gui。
It's very difficult to give really good advice. I just can speak from my own experience. Four years ago, I had the chance to be, here also in Hamburg, in a big trauma hospital, which was not a university hospital but Asklepios Klinik St. Georg. There, I built up my team, and many people of this team went with me to the university clinic and another group went to BG trauma hospital. And I had, additionally, the great situation that in both hospitals there are already really excellent teams. So we supported these teams which were in the hospitals already with my own team, which bloom my ideas and my innovations. So I had the chance to bring my ideas and innovations to both hospitals through the teams. And I had the great situation that the former teams in the hospital accepted these innovations and treatment. The very important key to success is to be transparent, to speak about new innovations, and to bring down walls. It's very important to open the innovations and the ideas for the whole team and to bring a kind of harmony in a team, then you have the chance to bring the whole team forward. If there are fights in your team, it can be very demanding and difficult. And I have the great situation that I have really two great teams which work very closely together.
9、您活躍於多個專業學會，是德國膝關節學會前任主席、德語國家關節鏡與關節外科學會創傷委員會前任主席、AO Trauma德國區學科發展官，您認為這些學會對學科和醫生有何重要意義？
學會是非常重要的。我認為即使是大型創傷中心的主任，也非常有必要積極投身於各大學會。舉個例子，AO（國際內固定研究學會）是全球領先的骨折治療學會，這是一個非常著名且規模龐大的學會。多年來我一直是AO Trauma德國區學科發展官，我倍感榮幸。
tongshiwoshideguoxiguanjiexuehuidechuangshirenzhiyi。zuoweideguoxiguanjiexuehuideqianrenzhuxi，wofeichangrongxingyefeichangzihaonengkandaoxuehuidezhuozhuangchengchang，youqishizaifuzaxiguanjieshoushulingyu，deguoxiguanjiexuehuishifeichangquanweide。
至於AGA（德語國家關節鏡與關節外科學會），zheshiyigelishiyoujiu，zaiguanjiejinglingyufeichangzhumingdexuehui。guanjiejingshoushuyeshiwodezhuangonglingyuzhiyi。yuwoeryan，zaihenduobinglishenzhishifuzaguanjiesunshangdezhiliaoshang，guanjiejingshiyigehenzhongyaodegongju。AGA在德國也是骨科與創傷外科領域最大的學會之一，對本學科來說非常重要。
The societies are very important, and even if you are the head of a big trauma center, it's very important to be politically engaged in some of these societies. AO is probably the world leading society for fracture care and treatment. It's a very famous and a very big society, and it's a big honor for me to be over years as the Development Officer of AO Trauma Germany. I was one of the Co-founders of the German Knee Society, so for me, it's also a really big honor to be a former President of the German Knee Society, which is developing really great. And especially in the field of complex knee surgery, it's a very powerful and very honorable society. The AGA is a very old and famous society, especially for arthroscopy which is also a very important tool for me for treatment of patients and even of complex joint injuries. The AGA also, here in Germany, is one of the most famous and biggest societies for trauma and in the field of orthopedics and trauma surgery.
10、您認為科研對一個臨床醫生有何重要意義？
對dui於yu外wai科ke醫yi生sheng來lai說shuo，投tou身shen於yu科ke學xue研yan究jiu非fei常chang重zhong要yao，我wo的de從cong醫yi理li念nian是shi成cheng為wei一yi名ming學xue術shu型xing外wai科ke醫yi生sheng。也ye就jiu是shi說shuo，我wo對dui我wo做zuo的de每mei台tai手shou術shu的de科ke學xue依yi據ju都dou了le然ran於yu心xin，我wo很hen清qing楚chu我wo的de科ke研yan水shui平ping和he我wo的de科ke研yan成cheng果guo。所suo以yi我wo在zai治zhi療liao病bing人ren的de時shi候hou，我wo對dui自zi己ji在zai科ke研yan領ling域yu的de定ding位wei也ye是shi非fei常chang清qing楚chu的de。我wo認ren為wei對dui病bing人ren進jin行xing臨lin床chuang研yan究jiu的de同tong時shi也ye是shi評ping估gu和he控kong製zhi自zi己ji的de醫yi療liao質zhi量liang。當dang我wo們men要yao應ying用yong某mou種zhong新xin療liao法fa，尤you其qi是shi要yao用yong在zai病bing人ren身shen上shang時shi，我wo們men一yi定ding要yao對dui療liao法fa、療效，以及自己的水平進行評估。對我而言，一名學術型外科醫生需要通過科研來評估、約束自己。
Being in scientific research is very important for a surgeon. My concept is being an academic surgeon. That means that for every kind of surgery I perform, I know exactly what the level of research or the answers of research of my treatment. And I think to do clinical research with patients is also to control your own doing and to have a assessment of your own quality. When there is any innovation in the field of surgery and if you use this innovation, especially in patients, it's very important to evaluate them, to evaluate your results and to see how good you are in this field. So for me, being an academic surgeon is to always control yourself by research and studies.
11、您是一位非常有創新精神的外科醫生。您開發的Frosch入路在全球廣泛應用，對此您有什麼想法？
其實看到我開發的入路被其他人應用我感到很自豪。我知道Frosch入路在中國挺熱門的。我真的引以為豪。但你要知道Frosch入路是我在2007niankaifade。worenweizuoweiyimingxueshuxingyishengbunengduizijidechengjiutaiziman。duiyuyikaizhanderuluyaochixupingguhegaijin。yinci，duonianlaiwomenduizhegerulujinxingleduocigailiang。worenweizaitigaozishenjishudetongshi，haixuyaochixupingguruludelibibingjiayigailiang。woxianzaideFrosch入路和2007年的原版也不一樣。我現在還在使用這個入路，不過是經過改良的，因此基於經驗對其進行改良很重要。
Well, it makes me kind of proud to see that other people use my ideas or, in this case, my approach. And I know it's popular in China to use the Frosch approach, which makes me proud. That is absolutely clear.
But the Frosch Approach was developed in 2007. And I think it's very important, as an academic surgeon, not to be too proud of yourself. It's very important to evaluate and to further develop the approach. So, by time, we developed improvements in this approach. And I think it is very, very important, to become better and better, to evaluate the pros and cons of such an approach and to improve it by time. I would not say the Frosch Approach from 2007 in the original version is the same that I do now. I still do it, but in most of the cases, in a modification.
12、您在國際上知名度很高，至今您最自豪的職業成就是什麼，為什麼？
wozuizihaodeshiwopeiyangleyizhijigaoshuipingdenianqingshoushutuandui。wofeichangzihaokeyigenyiqunjiyoutianfenderencaigongshi，nenggoudailingdajiazaixiguanjiewaikehechuangshangwaikelingyuyongpangaofeng，zheshiwogerenzhiyeshengyapaixingdiyidechengjiu。
其次，是我有機會能跟這支優秀的團隊一起開發各種新的手術技術。比如您剛提到的Frosch入(ru)路(lu)，多(duo)年(nian)來(lai)我(wo)們(men)精(jing)益(yi)求(qiu)精(jing)，一(yi)步(bu)步(bu)地(di)對(dui)其(qi)進(jin)行(xing)改(gai)良(liang)。同(tong)時(shi)，我(wo)們(men)應(ying)該(gai)是(shi)世(shi)界(jie)上(shang)首(shou)個(ge)完(wan)成(cheng)關(guan)節(jie)鏡(jing)下(xia)膝(xi)關(guan)節(jie)後(hou)外(wai)側(ce)角(jiao)重(zhong)建(jian)術(shu)的(de)團(tuan)隊(dui)。在(zai)關(guan)節(jie)鏡(jing)下(xia)，我(wo)們(men)成(cheng)功(gong)重(zhong)建(jian)了(le)膝(xi)關(guan)節(jie)後(hou)外(wai)側(ce)角(jiao)。全(quan)球(qiu)範(fan)圍(wei)內(nei)能(neng)在(zai)關(guan)節(jie)鏡(jing)下(xia)重(zhong)建(jian)膝(xi)關(guan)節(jie)後(hou)外(wai)側(ce)角(jiao)的(de)團(tuan)隊(dui)並(bing)不(bu)多(duo)，我(wo)們(men)對(dui)這(zhe)項(xiang)技(ji)術(shu)非(fei)常(chang)得(de)心(xin)應(ying)手(shou)。對(dui)於(yu)膝(xi)關(guan)節(jie)複(fu)雜(za)損(sun)傷(shang)的(de)治(zhi)療(liao)，我(wo)在(zai)兩(liang)家(jia)醫(yi)院(yuan)的(de)團(tuan)隊(dui)都(dou)已(yi)經(jing)達(da)到(dao)了(le)非(fei)常(chang)高(gao)的(de)水(shui)平(ping)，我(wo)對(dui)此(ci)也(ye)十(shi)分(fen)自(zi)豪(hao)。
It is that I built up a young team, which is now at a really high level, especially in surgery. It is one of the proudest things my career to get the chance to work with highly talented people and to bring them to such a high level, especially in knee surgery and in trauma surgery. This is clearly No.1 in my personal career achievements. And No.2 maybe is that I had the chance to develop new operation techniques with this team. For example, as you already mentioned, the Frosch Approach, which we modified and improved even more step by step over the last years. And that we were probably the first group in the world who did arthroscopic posterolateral reconstruction of the knee. There are not many groups in the world who are able to do this in an arthroscopic way, and we are very successful in this arthroscopic treatment. And also in treating other complex injuries in the knee, I think we have reached a very high level in both departments and that makes me proud.
13、新冠肺炎疫情現在是醫療領域最大挑戰之一，您認為這對您所在領域有何影響？
zheshiyigefeichangfuzadewenti。yiqingduigukeyuchuangshangwaikelingyujuyouduozhongyingxiang。qizhongyigeyingxiangjiushi，yiqinglingzhiliaobiandegengjiakunnan，biruhennanzaizuijiashijianjinxingshoushu。yinweiyiyuanhenduoyihurenyuan，youqishihushi，doubeichoutiaodaoICU去照顧新冠病人。手術室人手不足，無法像疫情前一樣高效運轉。
另(ling)一(yi)方(fang)麵(mian)，許(xu)多(duo)肌(ji)肉(rou)骨(gu)骼(ge)係(xi)統(tong)出(chu)現(xian)問(wen)題(ti)的(de)病(bing)人(ren)，尤(you)其(qi)是(shi)老(lao)年(nian)病(bing)人(ren)，不(bu)願(yuan)意(yi)到(dao)醫(yi)院(yuan)看(kan)病(bing)。因(yin)為(wei)他(ta)們(men)認(ren)為(wei)在(zai)醫(yi)院(yuan)感(gan)染(ran)新(xin)冠(guan)的(de)風(feng)險(xian)很(hen)高(gao)，但(dan)其(qi)實(shi)不(bu)是(shi)這(zhe)樣(yang)的(de)。
不bu僅jin如ru此ci，全quan球qiu科ke學xue界jie的de同tong道dao們men失shi去qu了le麵mian對dui麵mian交jiao流liu的de機ji會hui。線xian上shang會hui議yi跟gen線xian下xia會hui議yi始shi終zhong還hai是shi不bu一yi樣yang的de。所suo以yi我wo覺jiao得de我wo們men的de學xue術shu會hui議yi缺que失shi了le一yi部bu分fen，尤you其qi是shi會hui後hou的de活huo動dong。結jie束shu會hui議yi後hou，來lai自zi不bu同tong國guo家jia不bu同tong文wen化hua背bei景jing的de同tong道dao一yi起qi小xiao酌zhuo兩liang杯bei聊liao聊liao天tian，這zhe些xie都dou是shi線xian上shang會hui議yi無wu法fa取qu代dai的de。
haiyouyigekenengshibijiaozhengmiandeyingxiang。henduopingshizhuanzhuyulinchuanggongzuodechuangshangyisheng，youyuyiqingbudebubeigeli，huozheyouyushoushushideguanbiwufagongzuo，suoyitamendeyitourugengduoshijianlaixiewenzhang。guoqujinianwomenzaiwenzhanghekeyanshangdechanchuyousuotigao。danworenwei，yaoyouxindexiangfahechuangxin，zuihaohaishimianduimianjiaoliu。xuyaojuxingxianxiahuiyi，erbushiyongxianshanghuiyilaidaiti，danshihenkexixianzaizuobudao。woxiangxinzaiguoqudeliangnian，jiaruwomendegezhongxueshuhuiyikeyixianxiajuxing，erbushijinpingxianshangjiaoliudehua，womenhuiyougengduochuangxin。danchundexianshangjiaoliuwufatuidongxuekedechuangxinhekeyanchengjiu。keyanchuangxinhaishixuyaomianduimiandejiaoliu。
It's a very complex question. It has multiple impacts in the field of orthopedics and trauma surgery.
One impact is that it makes it even more difficult to treat the patients probably and also in a perfect time to do the surgeries, because a lot of members of the staff here in the hospital, especially nurses, are at the intensive care units to treat the Covid-19 patients there. We miss them in the operation room and do not have the capacity in the operating room that we are used to have.
The second aspect is that many people with musculoskeletal problems, especially elder people, don't come to the hospital, because they have the feeling that it might be dangerous, which is not.
The third aspect is that the whole scientific world has not the chance to meet. The online meeting is always different than a personal meeting. So I think there is something missing, especially the talks behind the curtain, after the symposium, going together to the bar and having a drink together with people from different countries and different cultures. These are completely missing and are not reflected in online meetings.
One more aspect, which might be a positive one is that a lot of young trauma surgeons who usually were in the clinic, they had to be in quarantine or they have not the chance to work because operating rooms are closed, so they have the chance to write papers, for example. So our output on papers and scientific was increased, but I think for ideas, for innovations, it's very important to have personal contact and a chance to meet people on a congress instead online, and that is missing.We probably would have much more innovations in the last 2 years if the congresses were not only online, but even more in a personal setting. I'm absolutely sure that this is not improving innovations and research. For innovation research, it is very important to meet personally.
14、假如您不從醫的話，您會從事什麼行業？
這zhe問wen題ti不bu好hao回hui答da，但dan是shi在zai我wo決jue定ding學xue習xi醫yi學xue前qian，我wo曾zeng經jing想xiang過guo讀du工gong程cheng學xue。對dui於yu我wo來lai說shuo成cheng為wei一yi名ming工gong程cheng師shi也ye是shi非fei常chang有you意yi思si的de。對dui於yu骨gu科ke醫yi生sheng來lai說shuo，學xue習xi力li學xue和he生sheng物wu力li學xue也ye是shi非fei常chang有you必bi要yao的de。因yin此ci，如ru果guo不bu從cong醫yi的de話hua我wo可ke能neng會hui成cheng為wei一yi名ming工gong程cheng師shi。
Difficult question. Before I wanted to study medicine, I had plans to study engineering. Engineering is also something interesting for me. To think about mechanics and biomechanics is also necessary in the field of orthopedics surgery. And if I would not be a medical doctor, I think I would be an engineer.
15、您有什麼興趣愛好？
為了放鬆身心，我平時喜歡慢跑、qishandizixingchehuozheyueyehuaxue。zheshiwozhenzhengdexingqusuozai，yundongbingbuzhishiweileqiangshenjiantigengshiweilefangsongxinqing。yundongduiwoeryanfeichangzhongyao，shiwonenggouzaigaoyahuanjingxiagongzuodeliangyao，wowufaxiangxiangmeiyouyundongdeshenghuo。
To get my head free, I go jogging, mountain biking, or cross-country skiing. Yeah, this is what I really like, and doing sports is not just for the body, it's also for relaxing my mind and my brain. I think sports, for me, is very important, which enables me to do this job as I do it with a lot of stress, high pressure. That helps me a lot and I could not imagine not doing sports.
Prof. Dr. med. Karl-Heinz Frosch
漢堡大學附屬埃彭多夫醫院創傷外科與骨科主任、創傷外科係係主任
BG創傷外科醫院漢堡分院院長
相關經曆
● BG創傷外科醫院漢堡分院院長（自2020年）
● 漢堡大學附屬埃彭多夫醫院創傷外科與骨科主任、創傷外科係係主任（自2018年）
● Asklepios集團醫院聖喬治分院創傷外科中心主任、急診與重建外科主任（2010年-2018年）
所獲榮譽
● FOCUS雜誌最佳創傷外科醫生
● FOCUS雜誌最佳運動醫學醫生
● FOCUS雜誌最佳膝關節醫生
● FOCUS雜誌最佳膝關節（十字韌帶、半月板）醫生
成員身份
● 中德骨科與創傷外科交流學會（DCGOU）候任主席（自2020年）
● 德國膝關節學會（DKG）主席（2016年-2017年）
● 關節鏡與關節外科學會（AGA）創傷外科委員會主席（2014年-2017年）
● 德國創傷外科學會（DGU）項目委員會副主席（2014年-2017年）
● AO Trauma 德國區學科發展官（自2014年）
● 關節鏡與關節外科學會（AGA）講師（自2010年）
● 德國骨科與創傷外科學會（DGOU）臨時谘詢委員會成員（2009年-2013年）
