I need some help with this one. I’m looking at the partial excision of bone, since this doesn’t make mention of any previous fractures, I cannot use the non union or malunion repairs. Any help or advice is appreciated!

OP note:

A scalpel was used to make a longitudinal incision on the dorsal aspect of the 4th and 5th webspace. Disection was deepened through the fat, and bleeding points were coagulated. The extensor tendon of the 5th toe was identified and transected. There was a florid synovitis, which I excised. I then used the oscilating saw to resect the distal portion of the metatarsal shaft and after this a more through plantar synovectomy was performed. After cleaning out the joint, and having already resected the bone under fluoroscopic guidance, I completed the procedure by placing a pin from a proximal to distal direction, 0.45 kirschner pin out through the base of the proximal phalanx and into the tip of the toe. After confirming proper placement, I then in a distal to proximal direction placed a pin into the medullary canal of the 5th metatarsal shaft. after obtaining 3 view xrays showing intramedullary location of the fixation and clinically feeling the toe was well aligned, I completed the procedure by lavaging the wound.