Abstract: An implant for metatarsal hemiarthroplasty according to embodiments of the present invention includes a resurfacing body configured to at least partially resurface distal and dorsal surfaces of an articular head of a metatarsus, the resurfacing body including a first side and a second side, the first side configured to articulate against a phalange associated with the metatarsus, the first side including a convex surface formed of ceramic, the second side configured to be fixed to the metatarsus, the second side including a concave surface from which protrude at least two immobilization elements, the at least two immobilization elements configured to interface with the articular head.