Report of the 1992–93 Sterling Bunnell Traveling Fellow

Abstract

I feel especially honored and grateful to have been chosen as the 1992-1993 Sterling Bunnell Traveling Fellow. In the space available, it is impossible to fully convey all my experiences and mention every individual who was so kind to me during my travels. I am deeply grateful to all those who through guidance, advice, and hospitality enabled me to travel to Asia and Europe to study many aspects of hand surgery and be exposed to a wealth of knowledge and the expertise of many master hand surgeons while studying and evaluating a variety of health care delivery systems. Over approximately 3 months I visited 23 hand centers in 17 cities. My travels began in March 1993 in Sapporo, Japan. Here my hosts, Professors Toshiko Ogino, Seiichi Ishii, at the Sappora Medical College Hospital and Michio Minami at the Hokkaido Orthopaedic Memorial Hospital provided me with an excellent introduction to Japanese hand surgery at their institutions respectively. Professors Ryogo Nakamura and Takayuki Miura demonstrated their techniques of three-dimensional computed tomography imaging for carpal reconstruction and management of Kienbrck 's disease during my visit in Nagoya. In Niigata, Professor Tatsuya Tajima shared with me many of his accomplishments and techniques for reconstruction of congenital hand deformities and trauma and for brachial plexus repair at the Niigata Hand Surgery Foundation. I must pay a special trib-