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Review Question - QID 211363

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QID 211363 (Type "211363" in App Search)
A 53-year-old woman has had progressive hallux valgus deformity of her right great toe for the last 12 years. She has failed nonoperative management including shoe modifications and padded inserts. Her surgeon recommends a Lapidus procedure (1st metatarsal cuneiform arthrodesis). Which of the following is an indication for this procedure?