Review Question - QID 218733

A 21-year-old competitive equestrian presents to your clinic one week after her horse fell while she was mounted. When she impacted the ground, her left foot was caught in a plantarflexed position in the stirrup. She was initially seen at an urgent care and non-weight-bearing films were read as normal. On exam, she has exquisite pain over the midfoot with bruising along the medial plantar foot and moderate swelling. Weight-bearing films of her injured foot are seen in Figure 1. As part of the shared decision-making process, you inform the patient that when compared to primary fusion, open reduction and internal fixation with rigid implants has a higher rate of which outcome?