My doc is proposing to fuse the joint. He points to an article:

ejbjs.org/cgi/content/abstract/89/2_suppl_1/122

He also has found this to be true in his practice. Also, no 2nd surgeries. It would be the 2nd joint only which he feels will have minimal effect on flexibility since this is in the metarsal which doesn't move much.

What do you folks think?