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大韓顎顔面成形再建外科學會誌 = Journal of Korean association of maxillofacial plastic and reconstructive surgeons, v.35 no.6, 2013년, pp.437 - 447
김성민 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소) , 조화련 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소) , 서미현 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소) , 명훈 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소) , 이종호 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소)
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The fibula is one of the most useful sources for harvest of a vascularized bone graft. The fibula is a straight, long, tubed bone, much stronger than any other available bone that can currently be used for a vascularized graft. It has a reliable peroneal vascular pedicle with a large diameter and mo...
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| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 비골이란 무엇인가? | 비골은 경골과 함께 하지를 이루는 단단한 장골로서 직선형의 관통 피질골 구조를 지니므로 인체 내 이식 후 초기부터 하중에 대한 저항이 강한 공여부골이다(Fig. 1). | |
| 비골은 발목관절을 어떻게 형성하는가? | 비골은 경골(tibia) 및 거골(talus)과 경첩형태의 발목관절을 형성하는데, 이를 경비관절이라 하여 경골과 비골이 상하 전체적으로 결합되어 있는 관절을 총칭하게 된다. 상방으로는 경골의 외측 하방으로 비골의 내측상연이 평면으로 맞닿아 있는 윤활관절 (synovial joint)을 이루고, 하방으로는 경비인대결합(tibiofibular syndesmosis)으로 이어지고 그 사이의 골간막(interosseous membrane)으로 이루어진다[22,23]. | |
| 장족무지신근은 골간막에 어떻게 부착하는가? | 전방부에서는 장족무지신근(extensor hallucis longus muscle), 장지신근(extensor digitorum longus muscle)과 전경골근이 비골의 내측연에 부착하는데, 장지신근은 비골 원심부 4∼6cm를 제외한 비골의 앞부분과 전근간중격을 따라 부착한다. 장족 무지신근은 비골의 전방 내측부와 골간막에 부착하고, 전경골근은 경골 상방 2/3 부위와 골간막에 부착하게 된다(Fig. 2, 3). |
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