I practice in an area where many of the top surgeons prefer fusing an arthritic big toe joint called Hallux Rigidus. But, there are options out there that I hope these 2 links give you some reference point. I am not a surgeon, but in the hundreds and hundreds of Hallux Rigidus cases I have seen, most patients are avoiding surgery. Those who need surgery have to look for a recommended 3 surgeons to honestly discuss cheilectomy (joint clean out), shortening osteotomy of the first metatarsal, joint replacement, intra-positional arthroplasty, and joint fusion (arthrodesis). There are definite camps of preferences. You need a surgeon who is skilled in all of these and knows the subtle differences and where your joint fits into this schema. You don't want to hear "I always do it this way". I do try to live in that ideal world. Fantasy???