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Traveling Fellow in Korea

In 2019, we received the Society Award of the Japanese Society of Fracture Treatment. The presentation was a study investigating the pharmacokinetics of iMAP in cadavers. The winners were given the opportunity to make presentations at the Korean Fracture Society meeting the following year and to visit hospitals for international exchange, but the event was canceled due to the corona epidemic. A total of less than 20 people were invited to KFS, including 8 winners and JSFR invited speakers. Winners will also receive a traveling fellow program that includes a hospital tour.

I came to visit Kyungpook University in Daegu. Dr. Morii from Saitama Medical University, with whom I have had some connection, and a doctor from Taiwan will join us.

Daegu is Korea's third largest city, located in the center of Korea with a population of 2.5 million. It takes less than two hours by train from Seoul, and there are direct flights from Kansai International Airport, making it closer than Hokkaido.

I went to a market with stalls and enjoyed B-class gourmet food even though I could not understand English at all, climbed a nearby 600m mountain to see the whole city, and saw what the city was like. Ta.

Also, there was a section of "Kanpo" near the hotel where I just stayed. Traditional Chinese medicine, which began in China, entered Japan and underwent its own evolution to become 'Kampo', and entered South Korea and achieved its own evolution as 'Kanpo'. Tourist information has lived in Japan before, so he showed me around the town while teaching me a lot about the history of Japan and Otei. Japan and South Korea have historically had a delicate relationship, and the relationship between the heads of state has deteriorated considerably over the past few years, but I thought that it was a relationship that could not be cut off in the private sector.

Kyungpook National University Hospital is a facility with a long history since 1907, located in the center of the city, and has taken on many traumatic injuries. Professor CHANG-WUG OH is very friendly and always has a sense of humor. Resident teachers are tense, so they are usually taught quite strictly. There are many surgeries for pelvic fractures a week, but this week happened to be few, and two surgeries were canceled.

We were welcomed to the dinner party every day and were treated very well. By chance, I received a request for a morning lecture and had the opportunity to introduce CLAP. The introduction took about 30 minutes, and we had a deep discussion with the members of the university. Dr. CW Oh listened to the story with considerable interest and was convinced by his careful explanation. Presentations at academic conferences are limited to five minutes and the time for Q&A is limited, but it was good that we were able to take our time and have discussions here.

As for the surgical observation, one case was a hypertrophic non-union with insufficient nail diameter. Deaf plans. However, when I was first injured, I had a Morrel Lavallee Lesion at the nail insertion site, and I had a skin graft, so how should I avoid that? What should I do if I have the worst infection? was under discussion. When the intramedullary granulation was submitted to pathology during the operation, neutrophil infiltration was observed, so infection was suspected and a cement rod was placed. The handwork that proceeded quietly according to the algorithm was splendid.

 We just had a similar hypertrophic non-union case at our hospital. We do not submit pathology for rapid diagnosis during surgery, but if infection is suspected based on intraoperative findings, there is no change to the point of replacing the intramedullary nail. There was a discussion about that as well, and they listened to the story with great interest.

In addition, there are cases of open lower leg fracture Gustilo Type II that came in the middle of the night with internal fixation with intramedullary nails from the morning, and intramedullary nail placement in the lateral position for femoral subtrochanteric fractures. However, it ended without any problems.

One last case I'm struggling with. After the osteosarcoma in the proximal tibia was resected, it was replaced with an implant for the tumor, but infection occurred at the same time. A case where the infection did not subside even after the implant was removed, and multiple surgeries were performed after setting up external fixation in order to move toward joint fixation. Curettage, antibacterial cement detention → recurrence are repeated. Since I have CLAP, I have almost no experience using antibacterial cement, but I was asked, "What would you do if you had CLAP?" I was impressed by his willingness to flexibly understand and accept completely new things.

 The iMAP pin will soon be classified as a Class III medical device. Then you can officially introduce it overseas. Hope that day will come someday.

When the Daegu program ended, I moved to Seoul for the KSF meeting. At the KFS-sponsored dinner party, there were teachers from Taiwan, Thailand, Singapore, etc., and I feel that the time has finally come back when the coronavirus has calmed down and we can talk freely. But day by day my

It is a problem that the trousers become tight.

KFS is not as big as Japan's JSFR, and is held at a hotel adjacent to Gimpo Airport. Programs were held in two main rooms. We also listened to a lecture by our JFSR Chairman, Professor Mogami.

In the afternoon session, Japanese presentations were made. I received a question from a teacher who was interested in my presentation. After all, I was asked a question that I could not convey in 5 minutes. Anyway, thank you for your interest. At the get-together, everyone threw a toast to say that they were glad that the presentation had ended safely.

I haven't been away from the hospital for more than a week, but I'm glad that the coronavirus is over and the time has come to go abroad again. It was the best experience to have an international exchange face to face.

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