This is a longitudinal, multi-center study to be conducted in at least five institutions from the private surgeon offices. These surgeons will collect data from X-rays, wound complications \and hardware complications.

Inclusion Criteria:

• Painful Hallux Limitus or Rigidus
• Painful Geriatric Hallux Valgus
• Failed prior 1st MTP joint arthroplasty (hemi-total)
• Arthritis of any etiology other than degenerative causes

Exclusion Criteria:

• Age less than 18 years
• Pregnant Females
• Active or prior infection at the target joint
• Immunocompromised patients
• Patients unwilling to sign informed consent
• Patient's unwilling to participate the in study protocol
• Subject with known sensitivity to titanium implants

Subjects will be recruited from the surgeons' private practices. These patients have already met the criteria for surgical intervention and have agreed to undergo the operative procedure and postoperative management.