Arthritis of the big toe is a fairly common entity, and unlike arthritis in other areas of the body, can afflict younger patients. Usual surgeries that address big toe arthritis include debridement (cleaning out) the joint or fusion. Older patients tend to tolerate fusion quite well, but younger patients often are not happy with the stiffness associated this procedure. Partial replacement of the great toe is an attractive alternative to fusion. This is an emerging technology that has been around for many years, but the older implants have marginal long term success. The newest implant on the market has shown good promise.