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Review Question - QID 211704

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QID 211704 (Type "211704" in App Search)
A 63-year-old female with right foot hallux rigidus that was treated with a 1st MTP hemiarthroplasty three years ago presents with worsening right hallux pain. Her pain is worse with weight-bearing and walking. Wearing stiff-soled shoes has not improved her symptoms. She denies any fevers or chills. On examination, there is a well-healed incision with no drainage or surrounding erythema. Pain is reproduced with flexion and extension of the 1st MTP joint. Current radiographs are depicted in figures A and B. What is the most reliable treatment for this patient?
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