Review Question - QID 8033

Figure 11a is the radiograph of a 45-year-old woman with a moderate bunion deformity. A Chevron osteotomy was performed and after 6 weeks the patient was doing reasonably well. Six months later she reports increasing pain and stiffness in her toe. Clinically the toe is reasonably straight, but she has significant calluses and overload under the second and third metatarsals. A follow-up radiograph is shown in Figure 11b. The patient wants to be free of pain. What is the most appropriate treatment?