Howics Rigidus: Treatment Options

A 56 year old diabetic female presents with a painful right toe deformity shown in figure A. The PIP and MTP joints are flexible and she has failed conservative treatment, which of the following is the best surgical treatment option for this patient? If there's isolated great toe pain or lesser toe metatarsalgia, you may be able to get away with a lesser procedure. In this case, her pain was isolated. And so the best answer is number five.