本期仁醫(yī)醫(yī)療特別邀請(qǐng)到國(guó)際著名膝關(guān)節(jié)外科專家Prof. Frosch做專題訪問。Prof. Frosch現(xiàn)任漢堡大學(xué)附屬埃彭多夫醫(yī)院創(chuàng)傷外科與骨科主任、BG創(chuàng)傷外科醫(yī)院漢堡分院的院長(zhǎng)，也是中德骨科與創(chuàng)傷外科交流學(xué)會(huì)（DCGOU）候任主席。作為兩家大型創(chuàng)傷中心的靈魂人物，Prof. Frosch計(jì)劃建立更緊密的創(chuàng)傷救治體系，實(shí)現(xiàn)資源互通惠澤患者。

Prof. Frosch是國(guó)際上為數(shù)不多的、可以僅通過關(guān)節(jié)鏡手術(shù)微創(chuàng)治療后斜韌帶損傷的專家之一。Prof. Frosch團(tuán)隊(duì)開發(fā)、改良了多種手術(shù)技術(shù)和入路，如Frosch入路、膝關(guān)節(jié)后外側(cè)角關(guān)節(jié)鏡下重建術(shù)等。

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1、您是何時(shí)決定從醫(yī)的呢？又為什么專攻運(yùn)動(dòng)醫(yī)學(xué)、創(chuàng)傷外科尤其是膝關(guān)節(jié)外科呢？

這是一個(gè)好問題。我18歲的時(shí)候是德國(guó)國(guó)家滑雪隊(duì)越野滑雪和跳臺(tái)滑雪運(yùn)動(dòng)員。當(dāng)時(shí)我的膝關(guān)節(jié)受了重傷，內(nèi)側(cè)副韌帶斷裂了，花了大概一年的時(shí)間才康復(fù)。從那時(shí)起我開始考慮學(xué)習(xí)醫(yī)學(xué)，并且我有預(yù)感這將會(huì)非常有意思。并且我萌生了專攻創(chuàng)傷外科領(lǐng)域的想法，因?yàn)槲覍?duì)創(chuàng)傷很感興趣。

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(jīng)歷如何塑造你的成就？

在我還是個(gè)學(xué)生和年輕醫(yī)生時(shí)有幸遇見了很多好老師。他們對(duì)我診斷和治療患者影響深遠(yuǎn)。時(shí)至今日，這段時(shí)期的經(jīng)歷還深刻地影響著我的日常實(shí)踐。

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(yè)生涯中是否有對(duì)您來說很重要的導(dǎo)師，他們教會(huì)您什么，是如何啟發(fā)您的呢？

很難說出具體哪一位對(duì)我的影響最大。有好幾位對(duì)我來說都很重要的導(dǎo)師。有一位是我在美國(guó)北科羅拉多州Steadman Hawkins醫(yī)院學(xué)習(xí)時(shí)的導(dǎo)師，當(dāng)時(shí)我是一名實(shí)習(xí)醫(yī)生，這位導(dǎo)師深刻影響了我治療病人的方式，也激發(fā)了我對(duì)膝關(guān)節(jié)損傷的濃厚興趣。

隨后，正如我所提到的一樣，我有幸在幾位非常好的導(dǎo)師手下學(xué)習(xí)。尤其是我在哥廷根大學(xué)工作時(shí)，Prof. Stankovi? 給予我非常大的幫助，并且對(duì)我影響深刻。他教導(dǎo)我如何做手術(shù)、如何治療病人。還有我在哥廷根工作時(shí)的主任Prof. Stürmer，他在治療復(fù)雜損傷方面對(duì)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 G?ttingen, I had really excellent teacher Prof. Stankovi? 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(jīng)驗(yàn)出發(fā)，對(duì)于一名醫(yī)生來說，到不同醫(yī)院或者不同國(guó)家訪問的重要性？

我認(rèn)為到不同的國(guó)家了解不同的醫(yī)療系統(tǒng)是非常重要的，這會(huì)啟發(fā)我們的創(chuàng)新思維。了解不同的治療理念是非常有趣的，也讓我們有機(jī)會(huì)從眾多治療理念中挑選出最好的。同時(shí)我們也能從科學(xué)的角度測(cè)評(píng)出最好的醫(yī)療系統(tǒng)和治療理念。

因此（訪問）打開了我們的思路，至少讓我們意識(shí)到世界上還有很多不同的理念和方式，可以給患者帶來好的療效，幫助我們成為一名更好的外科醫(yī)生。

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(chuàng)傷外科交流學(xué)會(huì)（DCGOU）候任主席，您認(rèn)為國(guó)際學(xué)會(huì)間的合作對(duì)學(xué)科發(fā)展有什么重要意義？

我認(rèn)為這不僅會(huì)推動(dòng)骨科和創(chuàng)傷外科的發(fā)展，也是國(guó)家間交流的紐帶。我覺得這是一個(gè)非常重要的政治信號(hào)，鼓勵(lì)國(guó)家之間特定學(xué)科的緊密合作。

對(duì)我來說，（成為候任主席）是我能做的小小貢獻(xiàn)。我們與中國(guó)達(dá)成共識(shí)，可以與中德兩國(guó)經(jīng)驗(yàn)豐富的外科專家共享經(jīng)驗(yàn)。所以，在我看來這不僅帶動(dòng)了骨科與創(chuàng)傷外科的學(xué)科發(fā)展，也是連接兩國(guó)的紐帶。

在中國(guó)有很多經(jīng)驗(yàn)豐富的外科醫(yī)生，他們非常具有創(chuàng)新精神。當(dāng)然德國(guó)在骨科和創(chuàng)傷外科領(lǐng)域也是極具創(chuàng)新性。所以我認(rèn)為這是一個(gè)非常完美的銜接。大家一起創(chuàng)新、相互學(xué)習(xí)，互相評(píng)價(jià)對(duì)方的創(chuàng)新成果，也許討論很激烈，充滿批判性，但是彼此開誠(chéng)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、您于2020年起任BG創(chuàng)傷外科醫(yī)院漢堡分院院長(zhǎng)，恭喜您。這家醫(yī)院是全球知名的創(chuàng)傷外科?？漆t(yī)院，也是德國(guó)最大的創(chuàng)傷中心之一。能否請(qǐng)您給我們分享您接下來幾年的計(jì)劃？

創(chuàng)傷外科醫(yī)院漢堡分院是一家由德國(guó)法定事故保險(xiǎn)協(xié)會(huì)運(yùn)營(yíng)的創(chuàng)傷?？漆t(yī)院。我供職的另一家醫(yī)院-漢堡大學(xué)埃彭多夫醫(yī)院的創(chuàng)傷科規(guī)模也非常大。兩家醫(yī)院在漢堡市的同一個(gè)區(qū)域。因此我有把這兩家醫(yī)院資源整合起來的想法，讓兩家醫(yī)院緊密合作。兩家醫(yī)院的行政管理是獨(dú)立的，但是在創(chuàng)傷病人的治療上合作非常緊密。

因?yàn)槲也粌H是BG創(chuàng)傷外科醫(yī)院漢堡分院的院長(zhǎng)、創(chuàng)傷外科主任，還是漢堡大學(xué)埃彭多夫醫(yī)院創(chuàng)傷外科主任。我的想法是兩家醫(yī)院合作，在漢堡市構(gòu)建一個(gè)完善的創(chuàng)傷救治體系，讓病人無論在BG創(chuàng)傷外科醫(yī)院還是在大學(xué)醫(yī)院都能接受到最好的治療。實(shí)現(xiàn)這個(gè)想法主要靠專家。無論病人在哪家醫(yī)院，都有最好的專家在病人身邊。所以我們組建了一支同時(shí)在兩家醫(yī)院工作的專家團(tuán)隊(duì)。

正因?yàn)槲彝瑫r(shí)管理著兩家醫(yī)療機(jī)構(gòu)，計(jì)劃實(shí)施起來非常得心應(yīng)手。相對(duì)而言，我為BG創(chuàng)傷醫(yī)院設(shè)立的目標(biāo)更多。一方面是病人的康復(fù)，大學(xué)醫(yī)院是無法提供康復(fù)治療的。因此，創(chuàng)傷病人尤其是受了工傷的病人，會(huì)選擇到BG創(chuàng)傷醫(yī)院進(jìn)行康復(fù)治療。另一方面，從事故現(xiàn)場(chǎng)的急救到康復(fù)后病人重返社會(huì)，我們希望每一個(gè)環(huán)節(jié)都能為病人提供最好的治療并形成良好閉環(huán)。

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(shí)也是漢堡大學(xué)埃彭多夫醫(yī)院骨科與創(chuàng)傷外科主任及創(chuàng)傷外科系主任，您如何平衡在兩家醫(yī)院間的行政、臨床、科研、教學(xué)工作及個(gè)人生活？

好問題。平心而論，同時(shí)供職于兩家如此大的醫(yī)院真的非常勞神費(fèi)力。但是我很幸運(yùn)，兩家醫(yī)院的團(tuán)隊(duì)成員都非常配合我。我在BG創(chuàng)傷外科醫(yī)院（漢堡分院）的團(tuán)隊(duì)非常優(yōu)秀，在漢堡大學(xué)埃彭多夫醫(yī)院的團(tuán)隊(duì)也非常出色，能與這樣的團(tuán)隊(duì)共事，我倍感榮幸。他們給予我全方位的支持，如行政工作、臨床工作、科研活動(dòng)等。我們?cè)跐h堡大學(xué)創(chuàng)傷外科有獨(dú)立的科研團(tuán)隊(duì)，在BG創(chuàng)傷外科醫(yī)院（漢堡分院）也有獨(dú)立的科研團(tuán)隊(duì)。因此，團(tuán)隊(duì)對(duì)我的支持是我能平衡眾多職務(wù)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(duì)如何培養(yǎng)年輕醫(yī)生有好的建議嗎？

很難給出太具體的建議，我只能從我的經(jīng)驗(yàn)出發(fā)分享我的看法。2018年以前，我一直供職于漢堡另一家大型創(chuàng)傷中心，不是大學(xué)醫(yī)院，是Asklepios醫(yī)院集團(tuán)圣喬治分院。在那里我培養(yǎng)了自己的團(tuán)隊(duì)，這個(gè)團(tuán)隊(duì)的成員后來都跟隨我到漢堡大學(xué)和BG創(chuàng)傷外科醫(yī)院（漢堡分院）工作。

我非常幸運(yùn)，多年來建立了自己的團(tuán)隊(duì)并且大家也愿意跟隨我到新的單位工作。這兩家醫(yī)院原有的團(tuán)隊(duì)也非常出色。我?guī)е业膱F(tuán)隊(duì)、理念、創(chuàng)新帶到了新的醫(yī)院，我的團(tuán)隊(duì)和原有的團(tuán)隊(duì)配合得也很好。因此，我通過團(tuán)隊(duì)的融合把我的理念和創(chuàng)新帶到新的工作醫(yī)院。我非常幸運(yùn)，兩家醫(yī)院原有的團(tuán)隊(duì)很樂于接受我?guī)淼男吕砟睢?/span>

我認(rèn)為管理團(tuán)隊(duì)成功的關(guān)鍵是：公開透明、敢做敢言、打破隔閡。整個(gè)團(tuán)隊(duì)要勇于討論新的技術(shù)和理念。成員間的和諧相處也很重要，唯有這樣才能帶領(lǐng)團(tuán)隊(duì)的進(jìn)步。如果團(tuán)隊(duì)內(nèi)部有斗爭(zhēng)，這就非常棘手。我在兩家醫(yī)院的團(tuán)隊(duì)都非常優(yōu)秀，互相之間緊密合作。這對(duì)我來說彌足珍貴。

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、您活躍于多個(gè)專業(yè)學(xué)會(huì)，是德國(guó)膝關(guān)節(jié)學(xué)會(huì)前任主席、德語國(guó)家關(guān)節(jié)鏡與關(guān)節(jié)外科學(xué)會(huì)創(chuàng)傷委員會(huì)前任主席、AO Trauma德國(guó)區(qū)學(xué)科發(fā)展官，您認(rèn)為這些學(xué)會(huì)對(duì)學(xué)科和醫(yī)生有何重要意義？

學(xué)會(huì)是非常重要的。我認(rèn)為即使是大型創(chuàng)傷中心的主任，也非常有必要積極投身于各大學(xué)會(huì)。舉個(gè)例子，AO（國(guó)際內(nèi)固定研究學(xué)會(huì)）是全球領(lǐng)先的骨折治療學(xué)會(huì)，這是一個(gè)非常著名且規(guī)模龐大的學(xué)會(huì)。多年來我一直是AO Trauma德國(guó)區(qū)學(xué)科發(fā)展官，我倍感榮幸。

同時(shí)我是德國(guó)膝關(guān)節(jié)學(xué)會(huì)的創(chuàng)始人之一。作為德國(guó)膝關(guān)節(jié)學(xué)會(huì)的前任主席，我非常榮幸也非常自豪能看到學(xué)會(huì)的茁壯成長(zhǎng)，尤其是在復(fù)雜膝關(guān)節(jié)手術(shù)領(lǐng)域，德國(guó)膝關(guān)節(jié)學(xué)會(huì)是非常權(quán)威的。

至于AGA（德語國(guó)家關(guān)節(jié)鏡與關(guān)節(jié)外科學(xué)會(huì)），這是一個(gè)歷史悠久，在關(guān)節(jié)鏡領(lǐng)域非常著名的學(xué)會(huì)。關(guān)節(jié)鏡手術(shù)也是我的專攻領(lǐng)域之一。于我而言，在很多病例甚至是復(fù)雜關(guān)節(jié)損傷的治療上，關(guān)節(jié)鏡是一個(gè)很重要的工具。AGA在德國(guó)也是骨科與創(chuàng)傷外科領(lǐng)域最大的學(xué)會(huì)之一，對(duì)本學(xué)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(rèn)為科研對(duì)一個(gè)臨床醫(yī)生有何重要意義？

對(duì)于外科醫(yī)生來說，投身于科學(xué)研究非常重要，我的從醫(yī)理念是成為一名學(xué)術(shù)型外科醫(yī)生。也就是說，我對(duì)我做的每臺(tái)手術(shù)的科學(xué)依據(jù)都了然于心，我很清楚我的科研水平和我的科研成果。所以我在治療病人的時(shí)候，我對(duì)自己在科研領(lǐng)域的定位也是非常清楚的。我認(rèn)為對(duì)病人進(jìn)行臨床研究的同時(shí)也是評(píng)估和控制自己的醫(yī)療質(zhì)量。當(dāng)我們要應(yīng)用某種新療法，尤其是要用在病人身上時(shí)，我們一定要對(duì)療法、療效，以及自己的水平進(jìn)行評(píng)估。對(duì)我而言，一名學(xué)術(shù)型外科醫(yī)生需要通過科研來評(píng)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(chuàng)新精神的外科醫(yī)生。您開發(fā)的Frosch入路在全球廣泛應(yīng)用，對(duì)此您有什么想法？

其實(shí)看到我開發(fā)的入路被其他人應(yīng)用我感到很自豪。我知道Frosch入路在中國(guó)挺熱門的。我真的引以為豪。但你要知道Frosch入路是我在2007年開發(fā)的。我認(rèn)為作為一名學(xué)術(shù)型醫(yī)生不能對(duì)自己的成就太自滿。對(duì)于已開展的入路要持續(xù)評(píng)估和改進(jìn)。因此，多年來我們對(duì)這個(gè)入路進(jìn)行了多次改良。我認(rèn)為在提高自身技術(shù)的同時(shí)，還需要持續(xù)評(píng)估入路的利弊并加以改良。我現(xiàn)在的Frosch入路和2007年的原版也不一樣。我現(xiàn)在還在使用這個(gè)入路，不過是經(jīng)過改良的，因此基于經(jīng)驗(yàn)對(duì)其進(jìn)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(guó)際上知名度很高，至今您最自豪的職業(yè)成就是什么，為什么？

我最自豪的是我培養(yǎng)了一支極高水平的年輕手術(shù)團(tuán)隊(duì)。我非常自豪可以跟一群極有天分的人才共事，能夠帶領(lǐng)大家在膝關(guān)節(jié)外科和創(chuàng)傷外科領(lǐng)域勇攀高峰，這是我個(gè)人職業(yè)生涯排行第一的成就。

其次，是我有機(jī)會(huì)能跟這支優(yōu)秀的團(tuán)隊(duì)一起開發(fā)各種新的手術(shù)技術(shù)。比如您剛提到的Frosch入路，多年來我們精益求精，一步步地對(duì)其進(jìn)行改良。同時(shí)，我們應(yīng)該是世界上首個(gè)完成關(guān)節(jié)鏡下膝關(guān)節(jié)后外側(cè)角重建術(shù)的團(tuán)隊(duì)。在關(guān)節(jié)鏡下，我們成功重建了膝關(guān)節(jié)后外側(cè)角。全球范圍內(nèi)能在關(guān)節(jié)鏡下重建膝關(guān)節(jié)后外側(cè)角的團(tuán)隊(duì)并不多，我們對(duì)這項(xiàng)技術(shù)非常得心應(yīng)手。對(duì)于膝關(guān)節(jié)復(fù)雜損傷的治療，我在兩家醫(yī)院的團(tuán)隊(duì)都已經(jīng)達(dá)到了非常高的水平，我對(duì)此也十分自豪。

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(xiàn)在是醫(yī)療領(lǐng)域最大挑戰(zhàn)之一，您認(rèn)為這對(duì)您所在領(lǐng)域有何影響？

這是一個(gè)非常復(fù)雜的問題。疫情對(duì)骨科與創(chuàng)傷外科領(lǐng)域具有多重影響。其中一個(gè)影響就是，疫情令治療變得更加困難，比如很難在最佳時(shí)間進(jìn)行手術(shù)。因?yàn)獒t(yī)院很多醫(yī)護(hù)人員，尤其是護(hù)士，都被抽調(diào)到ICU去照顧新冠病人。手術(shù)室人手不足，無法像疫情前一樣高效運(yùn)轉(zhuǎn)。

另一方面，許多肌肉骨骼系統(tǒng)出現(xiàn)問題的病人，尤其是老年病人，不愿意到醫(yī)院看病。因?yàn)樗麄冋J(rèn)為在醫(yī)院感染新冠的風(fēng)險(xiǎn)很高，但其實(shí)不是這樣的。

不僅如此，全球科學(xué)界的同道們失去了面對(duì)面交流的機(jī)會(huì)。線上會(huì)議跟線下會(huì)議始終還是不一樣的。所以我覺得我們的學(xué)術(shù)會(huì)議缺失了一部分，尤其是會(huì)后的活動(dòng)。結(jié)束會(huì)議后，來自不同國(guó)家不同文化背景的同道一起小酌兩杯聊聊天，這些都是線上會(huì)議無法取代的。

還有一個(gè)可能是比較正面的影響。很多平時(shí)專注于臨床工作的創(chuàng)傷醫(yī)生，由于疫情不得不被隔離，或者由于手術(shù)室的關(guān)閉無法工作，所以他們得以投入更多時(shí)間來寫文章。過去幾年我們?cè)谖恼潞涂蒲猩系漠a(chǎn)出有所提高。但我認(rèn)為，要有新的想法和創(chuàng)新，最好還是面對(duì)面交流。需要舉行線下會(huì)議，而不是用線上會(huì)議來代替，但是很可惜現(xiàn)在做不到。我相信在過去的兩年，假如我們的各種學(xué)術(shù)會(huì)議可以線下舉行，而不是僅憑線上交流的話，我們會(huì)有更多創(chuàng)新。單純的線上交流無法推動(dòng)學(xué)科的創(chuàng)新和科研成就?？蒲袆?chuàng)新還是需要面對(duì)面的交流。

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(yī)的話，您會(huì)從事什么行業(yè)？

這問題不好回答，但是在我決定學(xué)習(xí)醫(yī)學(xué)前，我曾經(jīng)想過讀工程學(xué)。對(duì)于我來說成為一名工程師也是非常有意思的。對(duì)于骨科醫(yī)生來說，學(xué)習(xí)力學(xué)和生物力學(xué)也是非常有必要的。因此，如果不從醫(yī)的話我可能會(huì)成為一名工程師。

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、您有什么興趣愛好？

為了放松身心，我平時(shí)喜歡慢跑、騎山地自行車或者越野滑雪。這是我真正的興趣所在，運(yùn)動(dòng)并不只是為了強(qiáng)身健體更是為了放松心情。運(yùn)動(dòng)對(duì)我而言非常重要，是我能夠在高壓環(huán)境下工作的良藥，我無法想象沒有運(yùn)動(dòng)的生活。

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(xué)附屬埃彭多夫醫(yī)院創(chuàng)傷外科與骨科主任、創(chuàng)傷外科系系主任

BG創(chuàng)傷外科醫(yī)院漢堡分院院長(zhǎng)

相關(guān)經(jīng)歷

● BG創(chuàng)傷外科醫(yī)院漢堡分院院長(zhǎng)（自2020年）

● 漢堡大學(xué)附屬埃彭多夫醫(yī)院創(chuàng)傷外科與骨科主任、創(chuàng)傷外科系系主任（自2018年）

● Asklepios集團(tuán)醫(yī)院圣喬治分院創(chuàng)傷外科中心主任、急診與重建外科主任（2010年-2018年）

所獲榮譽(yù)

● FOCUS雜志最佳創(chuàng)傷外科醫(yī)生

● FOCUS雜志最佳運(yùn)動(dòng)醫(yī)學(xué)醫(yī)生

● FOCUS雜志最佳膝關(guān)節(jié)醫(yī)生

● FOCUS雜志最佳膝關(guān)節(jié)（十字韌帶、半月板）醫(yī)生

成員身份

● 中德骨科與創(chuàng)傷外科交流學(xué)會(huì)（DCGOU）候任主席（自2020年）

● 德國(guó)膝關(guān)節(jié)學(xué)會(huì)（DKG）主席（2016年-2017年）

● 關(guān)節(jié)鏡與關(guān)節(jié)外科學(xué)會(huì)（AGA）創(chuàng)傷外科委員會(huì)主席（2014年-2017年）

● 德國(guó)創(chuàng)傷外科學(xué)會(huì)（DGU）項(xiàng)目委員會(huì)副主席（2014年-2017年）

● AO Trauma 德國(guó)區(qū)學(xué)科發(fā)展官（自2014年）

● 關(guān)節(jié)鏡與關(guān)節(jié)外科學(xué)會(huì)（AGA）講師（自2010年）

● 德國(guó)骨科與創(chuàng)傷外科學(xué)會(huì)（DGOU）臨時(shí)咨詢委員會(huì)成員（2009年-2013年）