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In page Syndesmosis procedure:

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Syndesmosis procedure addresses specifically the two fundamental problems of metatarsus primus varus deformity that gives rise to the bunion deformity. They are leaning and instability of the first metatarsal bone . Syndesmosis procedure uprights the leaning first metatarsal bone with strong binding sutures between it and the second metatarsal bone (Fig. 2) and then also stabilizes it uniquely by creating a fibrous connecting bridge between these two bones (Fig. 3, 4). First metatarsal bone can be readily realigned because by definition of the metatarsus primus varus deformity its first metatarsal is abnormally loose and mobile.[citation needed]