The Optimal Treatment for Halicis Vaugus

A 53-year-old woman has had progressive halicis vaugus deformity of her right-grade toe for the last 12 years. She has failed non-operative management including shoe modifications and padded inserts. Her surgeon recommends a lapidus procedure, which is a first metatarsal cuneiform arthrodesis. Which of the following is an indication for this procedure? The correct answer to this question is five first tarsal metatarsal arthritis.