A metatarsalphalangeal joint apparatus and method includes a metatarsal stem conformed to make cortical contact at the isthmus of a metatarsal bone and metatarsal head conformed to connect with the metatarsal stem. A phalangeal stem is conformed to make cortical contact at the isthmus of a phalangeal bone and a phalangeal base is conformed to connect with the phalangeal stem. A bearing surface is provided between the metatarsal head and the phalangeal base.
