Review Question - QID 219439

A 50-year-old male presents to the trauma clinic 18 months out from operative management of an open Hawkins III talar neck fracture, with initial injury films and immediate post-op films are seen in Figures A & B. The patient reports persistent pain with ambulation both on flat ground and on uneven surfaces. His physical exam is pertinent for pain with palpation at the ankle joint and the subtalar joint and a decreased range of motion across the hindfoot. Despite bracing and injections, his pain limits his function, and he is requesting intervention to improve his function and decrease his pain with ambulation. Films taken in the clinic today are shown in Figure C. What is the most appropriate treatment plan?