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Review Question - QID 8061

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QID 8061 (Type "8061" in App Search)
Figure 39 is the radiograph of a 67-year-old woman with rheumatoid arthritis who reports an 8-month history of increasing pain, swelling, and deformity. Anti-inflammatory drugs, orthotics, and extra-depth shoes have failed to provide relief. What is the next most appropriate step in treatment?
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