Not sure if that is a good indicator but sounds like you got good treatment.
Did you get morphine or equivalent?
Most would think Japan is a strong ski destination:
Mrs QS # tibia
Hospital straightens the leg without any anaesthetic or analgesia apart from panadol
Puts it in a full straight leg paster cast from toes to hip.
I argued strongly that it should be split. They thought through translation that I wanted it cut off. They did not appear to understand that splitting the cast allows swelling to occur without cutting off the blood supply to the leg. Basic orthopaedic # management. Eventually they understood when a junior nurse translated. If it was a non medical patient/family and the cast not split, the patient would have got severe pain after a few hours from swelling and the blood supply to the leg stopped turning it into an extreme medical emergency. QF would also have refused carriage - it was the first thing they looked for at checkin at HND - maybe QF HND check in have seen full limb casts without splits before?.
The only analgesic Mrs QS got between the # and getting back to Australia was panadol ( they supplied) and some ibuporofen which i found at a 7-11 and lots of

. When I asked about morphine they said no - I gather that is a Japanese thing.
Im putting it down to the lottery of the emergency Drs but this was not a small town.
First dose of morphine was when I got her back to Sydney 4 days later.
TI reactive not proactive. I had to organise and pay for one way QF flights in J myself because they didnt reply to my requests for same. Because of their dilly dallying the price almost doubled. They reinbursed me eventually.