Wound caused by a bone spur

Here is a patient of mine that I need to be doing surgery on in a few weeks. Over many years he's been using orthotics to take the pressure off of this joint on his big toe. But if you look underneath the skin there is a bone spur. This is been opened a number of times creating a wound then heals and then it opens again.

Solution: surgery to remove this bone spur at portion of the joint to help it heal.